Individual
PHILLIP JORDAN ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 BILBREY ST, LIVINGSTON, TN 38570-1706
(931) 823-6403
Mailing address
1502 GIBBONS RD, COOKEVILLE, TN 38506-5060
(931) 510-1409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14282
TN
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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