Doctor Name: | MRS. TESSA K POTERALSKI |
NPI Number: | 1659402683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT5999 |
Business Practice Address: | 1500 Fincher Ave East Ridge, TN - 374124204 |
Business Phone Number: | 4238941254 |
Business Fax Number: | |
Mailing Address: | 74 Boxwood Dr, RINGGOLD |
State: | GA |
Postal Code: | 307362892 |
Phone Number: | 7069355813 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT5999 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |