Individual
JONATHAN CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 OLD HIGHWAY 68, SWEETWATER, TN 37874-6258
(423) 351-1050
Mailing address
10043 FOREST DR, OOLTEWAH, TN 37363-8301
(512) 516-2065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7742
TN
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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