Michelle Coryell Tanner, PT

NPI #1275738593 in Hiram, Georgia

Provider Information

NPI Number: 1275738593
Entity Type: Individual
Name: Michelle Coryell Tanner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 18, 2007
Last Updated: Nov 19, 2010

Practice Location

Address: 45 ENTERPRISE PATH
Address 2: SUITE 101
City: Hiram
State: Georgia
ZIP Code: 30141-2691
Phone: (770) 439-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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