Individual
REGINA DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 KIRBY RD, MEMPHIS, TN 38115-3721
(901) 365-3665
Mailing address
PO BOX 1078, COLLIERVILLE, TN 38027-1078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5511
TN
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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