Organization
LIGHT CONNECTION INC
Active
Organization
LIGHT CONNECTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA W BRICKEY (SECRETARY/TREASURER)
(423) 543-8878
Entity
Organization
Contact information
Practice address
112 E MYRTLE AVE, STE 312, JOHNSON CITY, TN 37601-8600
(423) 737-1151
Mailing address
112 E MYRTLE AVE, STE 312, JOHNSON CITY, TN 37601-8600
(423) 737-1151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1157
TN
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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