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Individual

ADAM GERARD FEDEWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1207WOODS EDGE DR, MURFREESBORO, TN 37130
(989) 980-4857
Mailing address
1207 WOODS EDGE DR, MURFREESBORO, TN 37130-3165

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6661
TN

Other

Enumeration date
09/12/2017
Last updated
09/12/2017
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