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Organization
TRUE VINE THERAPY SERVICES
Active
Organization
TRUE VINE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH STANTHONY GIVENS DPT (PHYSICAL THERAPIST)
(205) 218-4723
Entity
Organization
Contact information
Practice address
724 COPPER BRANCH RD, HERMITAGE, TN 37076-1675
(205) 218-4723
Mailing address
724 COPPER BRANCH RD, HERMITAGE, TN 37076-1675
(205) 218-4723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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