Organization
PORTER PLACE REHAB AND FITNESS LLC
Active
Other names
Porter Place Rehab & Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
JONI M. ROBERTSON PT (OWNER)
(901) 581-4539
Entity
Organization
Contact information
Practice address
880 JONES CHAPEL DR, MOSCOW, TN 38057-3331
(901) 581-4539
Mailing address
880 JONES CHAPEL DR, MOSCOW, TN 38057-3331
(901) 581-4539
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5365
—
Other
Enumeration date
04/28/2013
Last updated
04/28/2013
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