Individual
THOMAS MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 FRYE ST, ATHENS, TN 37303-3052
(423) 745-0434
Mailing address
1204 FRYE ST, ATHENS, TN 37303-3052
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4639
TN
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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