Individual
GERLOU MAE MARIANO ALFEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 W LAKE RD, PLEASANT HILL, TN 38578-3002
(931) 277-3518
Mailing address
334 CHARLESTON LN APT 109, CROSSVILLE, TN 38555-6046
(931) 200-8802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3659
NV
225100000X
Physical Therapist
Primary
9823
TN
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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