Individual
MR. LARRY A PRISLAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
120 CAVETT HILL LANE, NHL - FARRAGUT, FARRAGUT, TN 37934
(865) 777-4000
Mailing address
508 BRIAR GATE LANE, KNOXVILLE, TN 37934
(865) 777-0224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001777
TN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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