Organization
MEMPHIS MYOFASCIAL RELEASE, LLC
Active
Organization
MEMPHIS MYOFASCIAL RELEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A LEIGH OTR/L (OCCUPATIONAL THERAPIST & OWNER)
(901) 435-6045
Entity
Organization
Contact information
Practice address
95 S MAIN ST, #105, MEMPHIS, TN 38103-2944
(901) 435-6045
(901) 202-7581
Mailing address
95 S MAIN ST, #105, MEMPHIS, TN 38103-2944
(901) 435-6045
(901) 202-7581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2915
TN
Other
Enumeration date
09/28/2011
Last updated
11/14/2011
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