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1417448911
CHRISTOPHER DEREK ROSE
MADISONVILLE, TN
NPI
1417448911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000006473)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
MR. CHRISTOPHER DEREK ROSE PTA
520 COOK ST STE D
MADISONVILLE, TN 37354-1533
Phone number: 423-442-1440
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Mailing Address
MR. CHRISTOPHER DEREK ROSE PTA
145 WARREN ST APT 16
MADISONVILLE, TN 37354-1062
Phone number:
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