Individual
DR. MALLORY LYNN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
535 MCDERMITT RD, MEMPHIS, TN 38120-1616
(901) 832-0040
Mailing address
535 MCDERMITT RD, MEMPHIS, TN 38120-1616
(901) 832-0040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10941
TN
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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