Individual
JENNIFER DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7600 MACON RD, CORDOVA, TN 38018-4900
(901) 754-7217
Mailing address
6286 BRIARCREST AVE, MEMPHIS, TN 38120-4023
(901) 237-3301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001752
TN
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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