360 Pt Wellness Physical Therapy

NPI #1194135699 in Clarksville, Tennessee

Provider Information

NPI Number
1194135699
Entity Type
Organization
Organization Name
360 Pt Wellness Physical Therapy
Primary Specialty
Physical Therapist
Enumeration Date
May 6, 2014
Last Updated
May 6, 2014

Practice Location

Address
2233 STOKES RD
Address 2
SUITE A
ZIP Code
37043-1818
Phone
(931) 648-2224

Authorized Official

Name
JALPA V DOMADIA
Title
OFFICE MANAGER
Phone
(931) 494-4991

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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