Individual
MRS. MARTHA FREELS PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 WINDHAM HILL RD, KNOXVILLE, TN 37934-4547
(571) 420-3112
Mailing address
324 WINDHAM HILL RD, KNOXVILLE, TN 37934-4547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1199
TN
Other
Enumeration date
10/30/2017
Last updated
05/16/2020
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