Individual
SAMSON O LANADE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 421-6510
(731) 421-6515
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-8781
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7502
TN
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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