Organization
HOME THERAPY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILDEFONSO LAQUINDANUM (OFFICE MANAGER)
(901) 848-6376
Entity
Organization
Contact information
Practice address
2855 STAGE VILLAGE CV STE 1, BARTLETT, TN 38134-4616
(901) 828-1816
Mailing address
2855 STAGE VILLAGE COVE, SUITE 1, BARTLETT, TN 38134-4616
(901) 828-1816
(901) 737-9097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5144
TN
Other
Enumeration date
03/12/2018
Last updated
02/12/2021
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