Individual
MR. PATRICK MICHAEL MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
121 VILLAGE DR STE 103, PORTLAND, TN 37148-1418
(615) 323-7575
Mailing address
220B E BIGGS RD, PORTLAND, TN 37148-4892
(615) 477-1103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003830
TN
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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