Individual
PAMELA DIANE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1094 MULBERRY ST, LOUDON, TN 37774-1364
(865) 458-8900
(865) 458-8626
Mailing address
1094 MULBERRY ST, LOUDON, TN 37774-1364
(865) 458-8900
(865) 458-8626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000000602
TN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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