Individual
DEBORAH HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 GRACE LN, LYNCHBURG, TN 37352-7071
(931) 247-3604
Mailing address
175 GRACE LN, LYNCHBURG, TN 37352-7071
(931) 247-3604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2752
TN
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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