Individual
MR. NELSON ANTHONY LIWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LPN
Contact information
Practice address
813 S DICKERSON RD, GOODLETTSVILLE, TN 37072-1761
(615) 859-6600
(615) 859-6608
Mailing address
120 WINDHAM CIRCLE, HENDERSONVILLE, TN 37075
(615) 826-7035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2319
TN
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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