Individual
EDEN GALVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Mailing address
2642 BIRDWELL ST, KINGSPORT, TN 37664-3765
(865) 566-5183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6221
TN
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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