Individual
BRIAN MEADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
812 N CHARLOTTE ST, DICKSON, TN 37055-1009
(615) 446-8046
Mailing address
105 JONES CREEK RD, H4, DICKSON, TN 37055-1478
(931) 237-1165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000006194
TN
Other
Enumeration date
02/09/2017
Last updated
02/10/2017
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