Individual
MR. JAMES CLYDE OAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2421 NORTH JOHN B DENNIS, KINGSPORT, TN 37665
(423) 288-4988
Mailing address
1941 NOBLE ST, KINGSPORT, TN 37665-1724
(423) 579-9680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4968
TN
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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