Gina Rawls, PTA

NPI #1578832275 in Mount Juliet, Tennessee

Provider Information

NPI Number: 1578832275
Entity Type: Individual
Name: Gina Rawls, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Dec 26, 2011
Last Updated: Dec 26, 2011

Practice Location

Address: 5525 CREOLE WAY
City: Mount Juliet
State: Tennessee
ZIP Code: 37122-8806
Phone: (615) 516-2479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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