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1891559977
NATHANIEL P WISE
ELIZABETHTON, TN
NPI
1891559977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 15442)
Enumeration Date
2024-02-09
Last Update Date
2024-02-14
Business Address
NATHANIEL P WISE DPT
420 RAILROAD ST
ELIZABETHTON, TN 37643-2504
Phone number: 423-297-1813
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Mailing Address
NATHANIEL P WISE DPT
260 SUNNYFIELD DR
BLOUNTVILLE, TN 37617-3467
Phone number: 423-578-4643
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