Individual
CHARITY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2458 JACKSBORO PIKE, LAFOLLETTE, TN 37766
(423) 566-2250
(423) 566-5896
Mailing address
2458 JACKSBORO PIKE, LAFOLLETTE, TN 37766
(423) 566-2250
(423) 566-5896
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000007152
TN
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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