GABRIEL GORDON GRAVATT

MARYVILLE, TN
NPI1316439334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6641)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
GABRIEL GORDON GRAVATT PTA
1750 LINDA LN
MARYVILLE, TN 37803-5536
Phone number: 865-406-0781
Mailing Address
GABRIEL GORDON GRAVATT PTA
1750 LINDA LN
MARYVILLE, TN 37803-5536
Phone number: 865-406-0781
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