Individual
REGINALD DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8353 TN-100, NASHVILLE, TN 37221
(629) 888-5800
Mailing address
8353 TN-100, NASHVILLE, TN 37221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6396
TN
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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