Individual
AMY SUZANNE VILLACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
102 DUNHILL PL NW, STE. B, CLEVELAND, TN 37311-3890
(423) 559-0444
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8796
TN
Other
Enumeration date
09/07/2011
Last updated
09/22/2011
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