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Individual

HEATHER LYNN RUNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2114 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2858
(423) 928-6464
Mailing address
969 WASHINGTON COLLEGE STA RD, LIMESTONE, TN 37681-2907
(423) 426-4696

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5955
TN

Other

Enumeration date
06/29/2015
Last updated
06/29/2015
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