Healthcare Provider Details
I. General information
NPI: 1710043351
Provider Name (Legal Business Name): DINA MARIE STRICKLAND PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1536 APPLING CARE LN
CORDOVA TN
38016-4927
US
IV. Provider business mailing address
6617 MOUNT PALOMAR DR
BARTLETT TN
38134-2833
US
V. Phone/Fax
- Phone: 901-385-1803
- Fax:
- Phone: 901-372-5006
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2771 |
| License Number State | TN |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: