| NPI | 1245678069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH MULLINS Otr/L 423-605-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT3112) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |