WESLEY ERIC DEBORD

JOHNSON CITY, TN
NPI1427171669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  PTA0000002615)
Enumeration Date2007-04-10
Last Update Date2019-12-16
Business Address
Mr. WESLEY ERIC DEBORD PTA
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Mailing Address
Mr. WESLEY ERIC DEBORD PTA
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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