Individual
JOHNNA JO PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1012 JAMESTOWN WAY, MARYVILLE, TN 37803-5865
(865) 984-7400
Mailing address
912 SW CROSS RD, MARYVILLE, TN 37803-7532
(615) 613-1735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7466
TN
Other
Enumeration date
04/21/2010
Last updated
09/16/2024
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