Individual
MRS. DEIDRE DIONE BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., ATC
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 622-6200
Mailing address
5750 LAKE RESORT DR APT H107, CHATTANOOGA, TN 37415-7045
(423) 877-4723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000005485
TN
225100000X
Physical Therapist
2305212577
VA
Other
Enumeration date
06/05/2007
Last updated
02/12/2019
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