Individual
IRIS DANIELA SORTO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 542-5061
Mailing address
2609 OAKCREST DR, MORRISTOWN, TN 37814-6358
(423) 200-8663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7412
TN
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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