Provider Demographics
NPI:1700051323
Name:MCBRIDE, ANN MARIE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 CHEROKEE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3302
Mailing Address - Country:US
Mailing Address - Phone:423-267-9146
Mailing Address - Fax:423-267-9081
Practice Address - Street 1:626 CHEROKEE BLVD STE C
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3302
Practice Address - Country:US
Practice Address - Phone:423-267-9146
Practice Address - Fax:423-267-9081
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000006471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist