Individual
GERARDO ADRIAN JARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
176 W UNIVERSITY PKWY STE E, JACKSON, TN 38305-1618
(731) 300-4950
Mailing address
23 LILAC LN, JACKSON, TN 38301-3909
(731) 697-8548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4069
TN
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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