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Organization
NORTHBROOKE HEALTHCARE AND REHAB CENTER
Active
Organization
NORTHBROOKE HEALTHCARE AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOGAN KAY BEASLEY PTA (PHYSICAL THERAPIST ASSISTANT)
(731) 225-7130
Entity
Organization
Contact information
Practice address
121 PHYSICIANS DR, JACKSON, TN 38305-6011
(731) 664-5050
(731) 668-4890
Mailing address
121 PHYSICIANS DR, JACKSON, TN 38305-6011
(731) 664-5050
(731) 668-4890
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4788
TN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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