Organization
RIVER VALLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL EUGENE BOGARD PT (OWNER)
(731) 584-0942
Entity
Organization
Contact information
Practice address
77 E LAKE ST, CAMDEN, TN 38320-2019
(731) 584-0942
(731) 548-0942
Mailing address
77 E LAKE ST, CAMDEN, TN 38320-2019
(731) 584-0942
(731) 548-0942
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2223
TN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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