STEPHEN LAKE, MPT

Physical Therapist

Active Individual
NPI: 1689620106

Practice Address

4957 SWINYAR DR STE 103
Ooltewah, TN 37363

Phone: (423) 664-0800

Specialties

Specialty Code Primary License
Physical Therapist 225100000X No PT004097 (GA)

Frequently Asked Questions

NPI 1689620106 is the National Provider Identifier for STEPHEN LAKE, MPT, a Physical Therapist provider located in Ooltewah, TN. This NPI was enumerated on May 26, 2006.
STEPHEN LAKE, MPT practices at 4957 SWINYAR DR STE 103, Ooltewah, TN 37363.

Quick Facts

NPI
1689620106
Type
Individual
Enumerated
May 26, 2006
Last Updated
Oct 30, 2018

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