MARK DURANT PRESTON

KINGSTON, TN
NPI1942413620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  414)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mr. MARK DURANT PRESTON OT
306 HOMEPARK RD
KINGSTON, TN 37763-4434
Phone number: 865-376-3474
Mailing Address
Mr. MARK DURANT PRESTON OT
306 HOMEPARK RD
KINGSTON, TN 37763-4434
Phone number: 865-376-3474