Individual
DARRELL LADALE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3180
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8018
TN
225100000X
Physical Therapist
PT008243
GA
Other
Enumeration date
03/06/2007
Last updated
08/18/2014
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