Organization
SOUTH FORK PHYSICAL THERAPY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMMY GILBERT PT, DPT (OWNER)
(423) 569-3443
Entity
Organization
Contact information
Practice address
530 INDUSTRIAL LN, ONEIDA, TN 37841-6311
(423) 569-3443
(423) 569-2616
Mailing address
530 INDUSTRIAL LN, ONEIDA, TN 37841-6311
(423) 569-3443
(423) 569-2616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726305
—
TN
Enumeration date
11/21/2006
Last updated
11/15/2022
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