Organization
VERZOSA AGUSTIN CORPORATION
Active
Other names
Core rehabilitation center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA AGUSTIN VERZOSA P.T. (PRESIDENT)
(423) 312-6325
Entity
Organization
Contact information
Practice address
1293 HIGHWAY 11W, SUITE B, BEAN STATION, TN 37708-5810
(423) 312-6325
Mailing address
4834 FOWLER DR, MORRISTOWN, TN 37814-7704
(423) 312-6315
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT2169
TN
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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