Individual
LYDE D PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
514 SUMMITT ST, MEMPHIS, TN 38104-5320
(901) 289-6497
Mailing address
514 SUMMITT ST, MEMPHIS, TN 38104-5320
(901) 289-6497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1901
TN
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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