TIMOTHY DWAIN HOUSTON

PLEASANT HILL, TN
NPI1588355945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  PTA0000002866)
Enumeration Date2023-05-17
Last Update Date2023-05-17
Business Address
TIMOTHY DWAIN HOUSTON
55 W LAKE RD
PLEASANT HILL, TN 38578-3002
Phone number: 931-297-9943
Mailing Address
TIMOTHY DWAIN HOUSTON
9577 CHEROKEE TRL
CROSSVILLE, TN 38572-3566
Phone number: 931-200-7959
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