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Organization

COMPLETE PHYSICAL THERAPY AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL W DAVIDSON BSPT (PROVIDER)
(615) 504-6853
Entity
Organization

Contact information

Practice address
1633 W MAIN ST, LEBANON, TN 37087-3423
(615) 504-6853
Mailing address
1633 W MAIN ST, LEBANON, TN 37087-3423
(615) 504-6853

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3934
TN

Other

Enumeration date
02/24/2012
Last updated
02/24/2012
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