Light Connection INC
NPI #1548531890 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1548531890
- Entity Type
- Organization
- Organization Name
- Light Connection INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 18, 2012
- Last Updated
- Jan 18, 2012
Practice Location
- Address
- 112 E MYRTLE AVE
- Address 2
- STE 312
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-8600
- Phone
- (423) 737-1151
Authorized Official
- Name
- LINDA W BRICKEY
- Title
- SECRETARY/TREASURER
- Phone
- (423) 543-8878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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