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Individual

MS. DAPHNE RENEE O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5151 BLACKSMITH DR, MEMPHIS, TN 38127-2530
(901) 357-7078
Mailing address
5151 BLACKSMITH DR, MEMPHIS, TN 38127-2530
(901) 357-7078

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2033
TN

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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