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REDENTOR GOAN

Active

REDENTOR GOAN is a Physical Therapy Assistant healthcare provider located in OAKLAND, Tennessee. NPI 1639225972 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · OAKLAND, TN

Registration Details

NPI Number
1639225972
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2007 (19.560868106448 yrs)
Last Updated
Jul 8, 2007
License
PT 4082 (TN)

Practice Information

Address
6685 HIGHWAY 64 STE 2
OAKLAND, TN, 380603402
Browse TN providers · Browse ZIP 38060
Phone
9014657850
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in OAKLAND, TN

Name Credential NPI
MARIA DIANE GERSAVA PT 1932125200
BERNADETTE CABANGAL 1013063353
VALERIE JAVIER 1649326984
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.