WALTER SCOTT MATLOCK

SWEETWATER, TN
NPI1962975979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6842)
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
WALTER SCOTT MATLOCK PTA
520 OLD HIGHWAY 68
SWEETWATER, TN 37874-6258
Phone number: 423-351-1050
Mailing Address
WALTER SCOTT MATLOCK PTA
19395 FORK CREEK RD.
PHILADELPHIA, TN 37846
Phone number: 865-414-0851
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