ETHAN JOEL DUDLEY

MARYVILLE, TN
NPI1750964284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  13412)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2021-05-03
Last Update Date2021-05-26
Business Address
ETHAN JOEL DUDLEY
1632 W BROADWAY AVE
MARYVILLE, TN 37801-5600
Phone number: 865-984-1996
Mailing Address
ETHAN JOEL DUDLEY
PO BOX 306393
NASHVILLE, TN 37230-6393
Phone number: 615-373-1350
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