Organization
ERWIN PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO E BORQUEZ P.T. (OWNER)
(423) 854-0001
Entity
Organization
Contact information
Practice address
1201 N MAIN AVE, ERWIN, TN 37650-9102
(423) 854-0001
(423) 854-0002
Mailing address
1201 N MAIN AVE, ERWIN, TN 37650-9102
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3729807
—
TN
01
—
4102657
BLUE CROSS OF TN
TN
01
—
589475729
TRICARE
TN
Enumeration date
09/10/2007
Last updated
09/23/2015
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