Individual
MATTHEW NEAL SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2366 SPRINGER ROAD, LAWRENCEBURG, TN 38464
(931) 766-6677
Mailing address
606 HERB DRIVE, LAWRENCEBURG, TN 38464
(931) 629-0936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3705
TN
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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