MATTHEW V PROVENZANO

HIXSON, TN
NPI1295004356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
-- MATTHEW V PROVENZANO PT
1790 HAMILL RD
HIXSON, TN 37343-4905
Phone number: 423-771-4600
Mailing Address
-- MATTHEW V PROVENZANO PT
1790 HAMILL RD
HIXSON, TN 37343-4905
Phone number: 423-771-4600
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