Individual
ANTHONY J ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1397 S COLLEGE ST, WINCHESTER, TN 37398-2414
(931) 962-3225
Mailing address
115 BROADRICK ST, TULLAHOMA, TN 37388-2701
(931) 563-7977
(931) 962-3103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10356
TN
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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