Individual
EDIBERTO BARRERA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 N CASTLE HEIGHTS AVE, SUITE G, LEBANON, TN 37087-1511
(615) 443-4938
(615) 443-4151
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10730
TN
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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