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Individual

ILIEN DIAMSE HAMMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
100 E VINE ST, MURFREESBORO, TN 37130-3734
(931) 796-7996
Mailing address
1260 NAPIER LAKE RD, HOHENWALD, TN 38462-5628
(931) 796-7996

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2407
TN

Other

Enumeration date
11/05/2006
Last updated
07/08/2007
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