MEDICARE: ANN MARIE MCBRIDE PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT0000006471	TN

General Provider Information

NPI Number	:	1700051323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE MCBRIDE PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	626 CHEROKEE BLVD STE C
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405-3302
Country	:	US
Telephone Number	:	423-267-9146
Fax Number	:	423-267-9081

Provider Business Practice Location Address
First Line	:	626 CHEROKEE BLVD STE C
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37405-3302
Country	:	US
Telephone Number	:	423-267-9146
Fax Number	:	423-267-9081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	03/12/2023

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