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1275910309
CHANNON DILLARD
HAMPTON, VA
NPI
1275910309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603960)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
MRS. CHANNON DILLARD LPTA
3403 KECOUGHTAN RD
HAMPTON, VA 23661-3505
Phone number: 757-650-6948
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Mailing Address
MRS. CHANNON DILLARD LPTA
3403 KECOUGHTAN RD
HAMPTON, VA 23661-3505
Phone number: 757-650-6948
Copy
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