Individual
MR. GABRIEL C EDAUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 GILL ST, ALCOA, TN 37701
(865) 806-1935
(865) 980-0031
Mailing address
9519 SHADOW LN, KNOXVILLE, TN 37922-8812
(865) 806-1935
(865) 980-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004252
TN
Other
Enumeration date
11/21/2006
Last updated
09/23/2007
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