Individual
MR. JEFFERSON DAVID LECATES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
812 NORTH CHARLOTTE STREET, DICKSON, TN 37055
(615) 446-8046
(615) 441-3138
Mailing address
1508 BIRCHWOOD CIRCLE, FRANKLIN, TN 37064
(615) 790-7572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA596
TN
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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