Individual
MR. ALAN CHARLES QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
104 S MAIN AVE, ERWIN, TN 37650-1238
(423) 388-8940
Mailing address
104 S MAIN AVE, ERWIN, TN 37650-1238
(423) 388-8940
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7561
TN
Other
Enumeration date
08/15/2009
Last updated
08/15/2009
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