Individual
CARL DEAN PHILLIPS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3661 GLEN ALPINE RD, KINGSPORT, TN 37660-7859
(423) 361-7386
Mailing address
3661 GLEN ALPINE RD, KINGSPORT, TN 37660-7859
(423) 361-7386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001807
VA
225200000X
Physical Therapy Assistant
2653
TN
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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