Individual
JUSTIN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343
(731) 784-8405
Mailing address
246 CHERRYVILLE ROAD, BELLS, TN 38006
(731) 307-6020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000007371
TN
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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