Individual
DR. BRIAN MATTHEW DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1513 N 2ND ST, MEMPHIS, TN 38107-1003
(901) 791-0416
Mailing address
1420 RIVER LOOK CIR, APT. 201, MEMPHIS, TN 38103-7928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8688
TN
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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