MICHAEL BRANDON CHURCH

BRISTOL, TN
NPI1073056206
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6152)
Enumeration Date2016-11-20
Last Update Date2016-11-20
Business Address
-- MICHAEL BRANDON CHURCH LPTA
1996 W STATE ST
BRISTOL, TN 37620-1940
Phone number: 423-844-6111
Mailing Address
-- MICHAEL BRANDON CHURCH LPTA
1996 W STATE ST
BRISTOL, TN 37620-1940
Phone number: 423-844-6111
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