Individual provider · Type 1 NPI

Dierdre Louise Charlett

Pediatric Physical Therapist · Kingston, TN

NPI number 1164059093 Active

Practice location

187 Gallaher Rd
Kingston, TN 37763-4721

Call (865) 376-4620 Map

Mailing address

PO Box 4847
Oak Ridge, TN 37831-4847

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X12758 (TN)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1164059093

Dierdre Louise Charlett's National Provider Identifier is 1164059093, issued on Mar 23, 2020. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Kingston, TN. The record was last updated on Mar 23, 2020.