Individual
ROGER NIFRAS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 E REELFOOT AVE, UNION CITY, TN 38261-6021
(731) 885-8095
Mailing address
2410 E OLD TROY RD, UNION CITY, TN 38261-8244
(731) 885-8574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000003125
TN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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