Individual
EVA PEREZ MABOLOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 E COLLEGE ST, PULASKI, TN 38478-4541
(931) 363-7548
Mailing address
2105 LOUDENSLAGER DR, THOMPSONS STATION, TN 37179-5313
(931) 363-7548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3155
TN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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