Stephen Taylor Lake, MPT

NPI #1689620106 in Ooltewah, Tennessee

Provider Information

NPI Number
1689620106
Entity Type
Individual
Name
Stephen Taylor Lake, MPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MPT
Enumeration Date
May 26, 2006
Last Updated
Oct 30, 2018

Practice Location

Address
4957 SWINYAR DR STE 103
ZIP Code
37363-2205
Phone
(423) 664-0800

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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