Individual
FIORELLO ERICO PACIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
102 E COMMERCE CT, JEFFERSON CITY, TN 37760-3200
(865) 475-3101
(865) 475-9012
Mailing address
102 E COMMERCE CT, JEFFERSON CITY, TN 37760-3200
(865) 475-3101
(865) 475-9012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000002442
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36548882
MEDICARE PTAN
TN
Enumeration date
08/02/2005
Last updated
09/04/2013
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