Organization
PHYSIO ART AND REHAB CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAFAA FATHY P.T. (SECRETARY)
(615) 896-8500
Entity
Organization
Contact information
Practice address
433 E BURTON ST, MURFREESBORO, TN 37130-3855
(615) 896-8500
(615) 895-9551
Mailing address
433 E BURTON ST, MURFREESBORO, TN 37130-3855
(615) 896-8500
(615) 895-9551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446539
—
TN
01
—
2200485
BCBS
TN
01
—
5827004
AETNA
TN
01
—
6440023
UHC
TN
Enumeration date
12/28/2006
Last updated
01/08/2009
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