Organization
360 PT WELLNESS PHYSICAL THERAPY
Active
Organization
360 PT WELLNESS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALPA V DOMADIA (OFFICE MANAGER)
(931) 494-4991
Entity
Organization
Contact information
Practice address
2233 STOKES RD, SUITE A, CLARKSVILLE, TN 37043-1818
(931) 648-2224
Mailing address
2233 STOKES RD, SUITE A, CLARKSVILLE, TN 37043-1818
(931) 648-2224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9740
TN
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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