Organization
FORWARD PHYSICAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA WEISBERG MPT (OWNER)
(865) 357-5088
Entity
Organization
Contact information
Practice address
9215 MIDDLEBROOK PIKE, SUITE 400, KNOXVILLE, TN 37931-4737
(865) 357-5088
(865) 357-5087
Mailing address
9215 MIDDLEBROOK PIKE, SUITE 400, KNOXVILLE, TN 37931-4737
(865) 357-5088
(865) 357-5087
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0000005995
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11780652
CAQH
TN
01
—
1477504074
NPI
TN
Enumeration date
11/22/2010
Last updated
11/22/2010
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