Individual
MR. BRENT ALAN PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1924 ALCOA HWY, SUITE G50, KNOXVILLE, TN 37920-1511
(865) 305-6630
(865) 305-6631
Mailing address
1924 ALCOA HWY, SUITE G50, KNOXVILLE, TN 37920-1511
(865) 305-6630
(865) 305-6631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005887
TN
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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