Individual
ASHLEY VITRANO FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 HOLSTON HILLS DR, KINGSPORT, TN 37664-4167
(423) 343-5362
Mailing address
123 E 11TH AVE, JOHNSON CITY, TN 37601-3928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12514
TN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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