Justina Lynette Frost PTA

NPI 1063756542 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063756542
Gender Female
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
136 DAVIS LN
LA FOLLETTE TN, 37766-3118, US
Phone (423) 562-0760
Fax (423) 562-1055
Business Location
136 DAVIS LN
LA FOLLETTE TN, 37766-3118, US
Phone (423) 562-0760
Fax (423) 562-1055
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 3024
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According to our database, Mrs. Justina Lynette Frost PTA NPI is 1063756542, taxonomy code is 225200000X and license number is 3024, license state is located at Tennessee. Justina Lynette Frost PTA physically located at 136 Davis Ln, La Follette TN, 37766-3118. NPI Number Justina Lynette Frost PTA has the Individual type.

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1063756542 NPI number is provided on an as is basis without warranty of any kind. 1063756542 is maintained by the National Plan & Provider Enumeration System. The contents of Justina Lynette Frost PTA are for informational purposes only.