Individual
MRS. SALLIE GARDNER METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 N STATE ST STE 210, JACKSON, MS 39202-2064
(662) 242-0377
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3793
MS
Other
Enumeration date
10/26/2020
Last updated
10/28/2020
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