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Individual

ALLISON DETIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
501 ADESA BLVD, LENOIR CITY, TN 37771-6725
(865) 988-7610
(865) 988-6636
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-8930
(423) 524-5217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012542A
IN
225100000X
Physical Therapist
Primary
11620
TN

Other

Enumeration date
04/25/2017
Last updated
03/17/2018
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