Individual
ELISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4553 ALDERSGATE RD, MEMPHIS, TN 38117-3503
(731) 336-8845
Mailing address
4553 ALDERSGATE RD, MEMPHIS, TN 38117-3503
(731) 336-8845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4764
TN
Other
Enumeration date
03/10/2015
Last updated
05/19/2022
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