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Organization

ATHOMETHERAPY SOLUTIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROQUE FLESTADO ESTIPONA JR. PT, DPT (PRESIDENT)
(901) 461-5787
Entity
Organization

Contact information

Practice address
856 WILLOW TREE CIR, CORDOVA, TN 38018-6376
(901) 794-7988
(901) 794-7877
Mailing address
3949 HERONS RETREAT CV, LAKELAND, TN 38002-8498
(901) 461-5787

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3815
TN
225100000X
Physical Therapist
4215
TN
225X00000X
Occupational Therapist
1006
TN
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/03/2013
Last updated
01/22/2016
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