SAMSON O LANADE

JACKSON, TN
NPI1871242628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7502)
Enumeration Date2022-03-21
Last Update Date2022-03-21
Business Address
SAMSON O LANADE PTA
587 SKYLINE DR
JACKSON, TN 38301-3938
Phone number: 731-421-6510
Mailing Address
SAMSON O LANADE PTA
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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