Individual
MICHAEL LEE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 OAK RIDGE TPKE, C 102, OAK RIDGE, TN 37830-6957
(865) 483-7790
(865) 483-7790
Mailing address
12300 BLUFF SHORE DR, KNOXVILLE, TN 37922-6102
(865) 640-6373
(865) 483-7791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1794
TN
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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