Individual
MR. VANCE EDWARD BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(865) 687-1321
Mailing address
6724 FANTASIA RD, KNOXVILLE, TN 37918-8011
(865) 789-9996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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