Individual
MR. RANDY GLEN LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2657 APD 40, SOUTH FORK PLAZA, CLEVELAND, TN 37323-0696
(423) 339-1492
(423) 339-1496
Mailing address
2657 APD 40, SOUTH FORK PLAZA, CLEVELAND, TN 37323-0696
(423) 339-1492
(423) 339-1496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000000521
TN
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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