Organization
ERWIN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO E BORQUEZ PT (OWNER)
(423) 854-0001
Entity
Organization
Contact information
Practice address
1201 N MAIN AVE, ERWIN, TN 37650-9168
(423) 854-0001
(423) 854-0002
Mailing address
PO BOX 5748, JOHNSON CITY, TN 37602-5748
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
PT0000003577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3645345
—
TN
Enumeration date
05/22/2007
Last updated
09/22/2008
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