Individual
MRS. ALLENE PROCTOR HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
103 W STONE DR, SUITE 200, KINGSPORT, TN 37660-3220
(423) 224-5751
(423) 224-5776
Mailing address
1416 FAIRIDGE DR, KINGSPORT, TN 37664-2011
(423) 247-4072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
577
TN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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