Individual
MRS. MARY BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
(731) 658-6956
Mailing address
1655 VILDO RD, BOLIVAR, TN 38008-9649
(731) 609-1001
(731) 658-6956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
57
TN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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