Individual
MRS. LARA PAGOTAISIDRO PARADIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1026 MCFARLAND ST, MORRISTOWN, TN 37814-3443
(423) 473-5611
Mailing address
1026 MCFARLAND ST, MORRISTOWN, TN 37814-3443
(423) 473-5611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9344
TN
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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