Individual
MRS. CANDACE SIMERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
800 S MOHAWK DR, SUITE D, ERWIN, TN 37650-2124
(423) 743-1245
(423) 743-2885
Mailing address
420 CLINCHFIELD AVE, ERWIN, TN 37650-1609
(423) 743-1245
(423) 743-2885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000008875
TN
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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