Individual
NERIO GOMEZ PEPITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2311 FAIRFIELD DR, DYERSBURG, TN 38024-5231
(731) 287-0662
Mailing address
2311 FAIRFIELD DR, DYERSBURG, TN 38024-5231
(731) 287-0662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
104807
MO
225100000X
Physical Therapist
Primary
5175
TN
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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