EVAN CORWYN EAST

JACKSON, TN
NPI1942694310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  PTA0000005722)
Enumeration Date2015-03-24
Last Update Date2015-03-24
Business Address
EVAN CORWYN EAST PTA
670 SKYLINE DR
JACKSON, TN 38301-3934
Phone number: 731-300-4800
Mailing Address
EVAN CORWYN EAST PTA
670 SKYLINE DR
JACKSON, TN 38301-3934
Phone number: 731-300-4800
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