VICTORIA GILLENWATER

KINGSPORT, TN
NPI1669034682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  0000005364)
Enumeration Date2019-06-29
Last Update Date2019-06-29
Business Address
VICTORIA GILLENWATER
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
Mailing Address
VICTORIA GILLENWATER
134 NELMS ST
SURGOINSVILLE, TN 37873-3157
Phone number: 423-444-9151
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