Individual
BEATRIZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 SHERIDAN SQ, STE 100, KINGSPORT, TN 37660-7391
(423) 230-0194
(423) 230-0216
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03483
TN
Other
Enumeration date
04/17/2006
Last updated
07/15/2015
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