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Organization
VERZOSA AGUSTIN CORPORATION
Active
Organization
VERZOSA AGUSTIN CORPORATION
Active
Other names
Core rehabilitation center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA AGUSTIN VERZOSA P.T. (PRESIDENT)
(423) 312-6325
Entity
Organization
Contact information
Practice address
1293 HIGHWAY 11W, SUITE B, BEAN STATION, TN 37708-5810
(423) 312-6325
Mailing address
4834 FOWLER DR, MORRISTOWN, TN 37814-7704
(423) 312-6315
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT2169
TN
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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