Most Relevant Information
Provider Data
NPI Number: | 1003339672 |
Provider Name: | PATRICK WAYNE DORRIS |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 6303 |
Most Important Dates
Enumeration Date: | 07/25/2017 |
Last Updated: | 07/25/2017 |
Provider Practice Location
94 TWIN HILLS DR
MADISON
TN
371152357
Practice Location Phone/Fax
Phone: | 6156266962 |
Fax: |
Provider Mailing Location
94 TWIN HILLS DR
MADISON
TN
371152357
Provider Mailing Phone/Fax
Phone: | |
Fax: |