Organization
NORTHBROOKE HEALTHCARE AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOGAN KAY BEASLEY PTA (PHYSICAL THERAPIST ASSISTANT)
(731) 225-7130
Entity
Organization
Contact information
Practice address
121 PHYSICIANS DR, JACKSON, TN 38305-6011
(731) 664-5050
(731) 668-4890
Mailing address
121 PHYSICIANS DR, JACKSON, TN 38305-6011
(731) 664-5050
(731) 668-4890
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4788
TN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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