GABRIELLE ALYSSA BROADBENT

KODAK, TN
NPI1881043917
Former NameGABRIELLE ALYSSA PRICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  10828)
Enumeration Date2016-06-09
Last Update Date2017-04-12
Business Address
GABRIELLE ALYSSA BROADBENT PT, DPT
2946 WINFIELD DUNN PKWY STE 106
KODAK, TN 37764-4306
Phone number: 865-932-1088
Mailing Address
GABRIELLE ALYSSA BROADBENT PT, DPT
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217