Individual
DEANA PROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
633 N OCOEE ST APT 5, CLEVELAND, TN 37311-2278
(423) 584-5058
Mailing address
633 N OCOEE ST APT 5, CLEVELAND, TN 37311-2278
(423) 584-5058
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7202
TN
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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