Individual
MRS. EMMA HERNANDEZ TENERIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
505 BUCHANAN ROAD, NEW TAZEWELL, TN 37825
(423) 626-8215
Mailing address
4639 OAK MEADOW WAY, KNOXVILLE, TN 37918-9476
(865) 922-3645
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT4218
TN
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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