CHANNON DILLARD

HAMPTON, VA
NPI1275910309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306603960)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
MRS. CHANNON DILLARD LPTA
3403 KECOUGHTAN RD
HAMPTON, VA 23661-3505
Phone number: 757-650-6948
Mailing Address
MRS. CHANNON DILLARD LPTA
3403 KECOUGHTAN RD
HAMPTON, VA 23661-3505
Phone number: 757-650-6948