| |
323 Sam Ridley Pkwy W Smyrna TN 37167-5625 | |
(615) 751-5211 | |
(615) 751-8049 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 323 Sam Ridley Pkwy W, Smyrna, Tennessee |
Authorized Official Name and Position | Marvette Wallace (DIRECTOR- CONTRACT MANAGEMENT) |
Authorized Official Contact | 4232387217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | 323 Sam Ridley Pkwy W Smyrna TN 37167-5625 Ph: (615) 751-5211 |
NPI Number | 1902143308 |
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Provider Enumeration Date | 01/07/2013 |
Last Update Date | 01/07/2013 |
Identifier | Type | State | Issuer |
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1902143308 | NPI | - | NPPES |
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