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DR. JOHN TANNER ALLEN PT,DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1053959130

Individual Registrant:
DR. JOHN TANNER ALLEN PT,DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1110 CLOVER HILL RD  VALDOSTA, GA 31602-1208 US
Tel: 229-740-3484  Fax: --

Contact information for business:
1110 CLOVER HILL RD  VALDOSTA, GA 31602-1208 US
Tel: 229-740-3484  Fax: --

Registration Information:
NPI: 1053959130
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT35395

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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