Individual
JOSE CHUCLK PRADA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BSPT
Contact information
Practice address
5653 FRIST BLVD, 731, HERMITAGE, TN 37076
(615) 885-9591
(615) 882-8388
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(866) 800-9147
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2112
TN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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