Individual
MR. FRED AUSTON WORTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C., J.D.
Contact information
Practice address
1789 KIRBY PKWY, SUITE #3, MEMPHIS, TN 38138-3608
(901) 759-1282
(901) 759-1290
Mailing address
487 N MAIN ST, COLLIERVILLE, TN 38017-2315
(901) 860-9271
(901) 860-9271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6624
TN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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