Independent Physical Therapy

NPI #1912245317 in Kingsport, Tennessee

Provider Information

NPI Number
1912245317
Entity Type
Organization
Organization Name
Independent Physical Therapy
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jan 21, 2013
Last Updated
Jan 21, 2013

Practice Location

Address
1 SHERIDAN SQ STE 100
ZIP Code
37660-7392
Phone
(423) 665-4380

Authorized Official

Name
MARVETTE WALLACE
Title
DIRECTOR CONTRACT MANAGMENT
Phone
(423) 238-7217

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Occupational MedicineOccupational Medicine
Clinic/Center - Physical TherapyPhysical Therapy

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