Individual
PHILLIP LOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 S MAIN ST APT 306, MEMPHIS, TN 38103-4820
(704) 886-8820
Mailing address
545 S MAIN ST APT 306, MEMPHIS, TN 38103-4820
(704) 886-8820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2192
AR
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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