Organization
FELLOWSHIP PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN C BUNGER PT (OWNER/PHYSICAL THERAPIST)
(423) 788-4636
Entity
Organization
Contact information
Practice address
2120 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7675
(423) 788-4636
(423) 558-0011
Mailing address
2120 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7675
(423) 788-4636
(423) 558-0011
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
11/08/2024
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