Organization
PHYSIOONE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CLOUSE DPT (OWNER)
(318) 639-7646
Entity
Organization
Contact information
Practice address
1204 N HOUSTON LEVEE RD STE 106, CORDOVA, TN 38018-6687
(901) 410-8487
Mailing address
1204 N HOUSTON LEVEE RD STE 106, CORDOVA, TN 38018-6687
(901) 410-8487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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