Individual
MISS MARILOU ABESAMIS ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3916 BOYDS BRIDGE PIKE, HOLSTON HEALTH AND REHAB CENTER, KNOXVILLE, TN 37914-6233
(865) 524-1500
(865) 524-0408
Mailing address
3916 BOYDS BRIDGE PIKE, HOLSTON HEALTH AND REHAB CENTER, KNOXVILLE, TN 37914-6233
(865) 524-1500
(865) 524-0408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
MO2007017263
MO
225100000X
Physical Therapist
Primary
TN8275
TN
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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