CHARLES JACKSON BREEDLOVE

KNOXVILLE, TN
NPI1427620814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA004344)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
CHARLES JACKSON BREEDLOVE PTA
10133 SHERRILL BLVD STE 200
KNOXVILLE, TN 37932-3347
Phone number: 888-531-2204
Mailing Address
CHARLES JACKSON BREEDLOVE PTA
10133 SHERRILL BLVD STE 200
KNOXVILLE, TN 37932-3347
Phone number: 888-531-2204
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