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Individual

ANGELA J. ALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, MPT

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4107
(423) 844-4149
Mailing address
1127 BRECKENRIDGE DR, JOHNSON CITY, TN 37604-8101
(423) 844-4107
(423) 844-4149

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108644
TN
225100000X
Physical Therapist
Primary
6398
TN

Other

Enumeration date
11/14/2006
Last updated
11/12/2008
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