JOSE CHUCLK PRADA

HERMITAGE, TN
NPI1518911213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  2112)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
-- JOSE CHUCLK PRADA BSPT
5653 FRIST BLVD 731
HERMITAGE, TN 37076
Phone number: 615-885-9591
Mailing Address
-- JOSE CHUCLK PRADA BSPT
PO BOX 681478
FRANKLIN, TN 37068-1478
Phone number: 866-800-9147