Individual
MRS. GRACE DELES VEDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2075 N GERMANTOWN PKWY, SUITE108, CORDOVA, TN 38016-1729
(901) 336-4902
(901) 202-9088
Mailing address
8910 ROBY CV, CORDOVA, TN 38016-4092
(901) 336-4902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4188
TN
Other
Enumeration date
08/18/2009
Last updated
02/07/2011
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