Individual
GREGORY J DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4905 N BROADWAY, KNOXVILLE, TN 37918-2315
(865) 689-8299
(865) 689-9804
Mailing address
150 N MARTINWOOD, STE 402, KNOXVILLE, TN 37923-5124
(865) 691-5020
(865) 691-5009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT19539
CA
225100000X
Physical Therapist
Primary
PT4078
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040730
—
TN
05
—
364190
—
TN
Enumeration date
09/07/2006
Last updated
07/09/2007
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