DIERDRE LOUISE CHARLETT

KINGSTON, TN
NPI1164059093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: TN  12758)
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
DIERDRE LOUISE CHARLETT
187 GALLAHER RD
KINGSTON, TN 37763-4721
Phone number: 865-376-4620
Mailing Address
DIERDRE LOUISE CHARLETT
PO BOX 4847
OAK RIDGE, TN 37831-4847
Phone number:
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