THOMAS MATLOCK

ATHENS, TN
NPI1215486212
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  4639)
Enumeration Date2016-10-02
Last Update Date2016-10-02
Business Address
-- THOMAS MATLOCK
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number: 423-745-0434
Mailing Address
-- THOMAS MATLOCK
1204 FRYE ST
ATHENS, TN 37303-3052
Phone number: