Individual
MS. AMANDA COLETTE DIERKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 540-4302
Mailing address
11303 CROWNE BROOK CIR, FRANKLIN, TN 37067-1660
(615) 390-7754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003969
TN
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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