Individual
MRS. STACY RACHELLE PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6925
(901) 516-6757
Mailing address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6925
(901) 516-6757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4432
MS
2251P0200X
Pediatric Physical Therapist
Primary
8141
TN
2251X0800X
Orthopedic Physical Therapist
8141
TN
Other
Enumeration date
07/21/2008
Last updated
12/01/2008
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