Nancy D. Cogburn
Physical Therapist in Maryville, TN. Organization (NPI-2).
NPI number1184162000
StatusActive
Last updated in NPPESFeb 11, 2017
Details
- NPI
- 1184162000
- Entity type
- Organization (NPI-2)
- Legal business name
- Nancy D. Cogburn
- Organization subpart
- No
- Enumeration date
- Feb 11, 2017
- Last updated
- Feb 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 0000010045 | TN | Yes |
Other names
- Pediatric Physical Therapy (Doing Business As)
Practice location
1759 Scenic DrMaryville, TN 37803-5535
Phone 865-654-2069 · Fax 865-233-2476
Mailing address
Po Box 4471Maryville, TN 37802-4471
Phone 865-654-2069 · Fax 865-233-2476
Authorized official
Nancy Cogburn
Owner
8656542069
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All 65 Physical Therapist providers in Maryville · All 1,651 providers in Maryville
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