Individual
WILLIAM J PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2035 E STONEBROOK PL, KINGSPORT, TN 37660-4000
(423) 246-8934
Mailing address
2035 E STONEBROOK PL, KINGSPORT, TN 37660-4000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
533
TN
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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