Provider Demographics
NPI:1841546868
Name:OLLARD, PAMELA G (PT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:G
Last Name:OLLARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 MALLORY LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8233
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:11201 W POINT DR
Practice Address - Street 2:SUITE 104
Practice Address - City:FARRAGUT
Practice Address - State:TN
Practice Address - Zip Code:37934-2833
Practice Address - Country:US
Practice Address - Phone:865-777-1080
Practice Address - Fax:865-777-1085
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2909225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist