Individual
STACEY LYNN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
(615) 871-8283
Mailing address
919 DENISE DR, OLD HICKORY, TN 37138-1513
(615) 879-9780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3961
TN
Other
Enumeration date
01/11/2019
Last updated
02/04/2019
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