Individual
LAKESHA REED GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5469 SOUTHWOOD DR, MEMPHIS, TN 38120-1928
(901) 761-0021
(901) 432-5215
Mailing address
6320 N QUAIL HOLLOW RD, MEMPHIS, TN 38120-1420
(901) 761-0021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2387
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2387
HEALTH RELATED BOAR
TN
Enumeration date
11/29/2012
Last updated
11/29/2012
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