Individual
MRS. DYANA ALEXANDER GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
835 E POPLAR AVE, SELMER, TN 38375-1832
(731) 645-3201
Mailing address
4307 N HARPER RD, CORINTH, MS 38834-2410
(662) 286-7029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TN0000007334
TN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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