CARISSA ANDRES

PIGEON FORGE, TN
NPI1154720654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: TN  609)
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
-- CARISSA ANDRES ATC/LAT
170 COMMUNITY CENTER DRIVE
PIGEON FORGE, TN 37863
Phone number: 865-908-9248
Mailing Address
-- CARISSA ANDRES ATC/LAT
213 BUENA VISTA DR
SEVIERVILLE, TN 37876-9502
Phone number: 865-908-9248