Individual
MRS. LILLIE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5847 ATOKA IDAVILLE RD, BRIGHTON, TN 38011-7066
(901) 206-5706
Mailing address
5847 ATOKA IDAVILLE RD, BRIGHTON, TN 38011-7066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000009617
TN
Other
Enumeration date
09/30/2022
Last updated
03/03/2023
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