LEO TAGBAR SUMATRA

MOUNT JULIET, TN
NPI1497017578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: TN  PT1965)
Enumeration Date2012-06-13
Last Update Date2012-06-13
Business Address
Mr. LEO TAGBAR SUMATRA
13135 LEBANON RD
MOUNT JULIET, TN 37122-2873
Phone number: 615-554-9224
Mailing Address
Mr. LEO TAGBAR SUMATRA
13135 LEBANON RD
MOUNT JULIET, TN 37122-2873
Phone number: 615-554-9224
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