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NPI Code Detail

MEDICARE: OLGA MCNEIL

MEDICARE: OLGA MCNEIL
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
1225200000XPhysical Therapy Assistant6059TN

General Provider Information

NPI Number : 1275994972
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA MCNEIL
Provider Business Mailing Address
First Line : 2822 DIANE GAYLE DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-1420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8309 ASHEVILLE HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37924-4102
Country : US
Telephone Number : 865-932-1334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2016
Last Update Date : 03/09/2016

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Directions to “ OLGA MCNEIL ” Practice Location

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