Individual
NOEL N SANSOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8904 CROSS PARK DR, KNOXVILLE, TN 37923-4703
(865) 690-2671
(865) 690-6445
Mailing address
PO BOX 32709, KNOXVILLE, TN 37930-2709
(865) 558-6484
(865) 584-4037
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9453
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031654008
MEDICARE PTAN
TN
Enumeration date
10/29/2012
Last updated
06/20/2013
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