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Individual

MR. CALVERT SEGUINAL MARASIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 980-0030
(865) 980-0031
Mailing address
6111 W ANDREW JOHNSON HWY STE 5, TALBOTT, TN 37877-8585
(423) 586-9495

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3436
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q021353
TN
Enumeration date
08/31/2006
Last updated
03/02/2023
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