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Individual

MR. ESSAM FATHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.P.T.

Contact information

Practice address
433 E BURTON ST, MURFREESBORO, TN 37130-3855
(615) 896-8500
Mailing address
433 E BURTON ST, MURFREESBORO, TN 37130-3855
(615) 896-8500

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001078
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3106299
BCBS
TN
01
62-1514510
TAX ID
TN
Enumeration date
11/28/2006
Last updated
07/24/2024
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