Individual
MR. NOEL MANLICLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
135 GENERATION DR, NEWPORT, TN 37821-8018
(423) 623-0929
Mailing address
5319 BRAZELTON RD, KNOXVILLE, TN 37918-3414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3171
TN
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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