Individual
DIPESH SOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-5611
Mailing address
412 TENNESSEE SHORT CUT RD, ALBANY, KY 42602-1042
(931) 510-2988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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