Individual
LAKESHA CHURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2146
(901) 747-1805
Mailing address
6848 SPRING RIVER RD, MEMPHIS, TN 38141-0520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3699
TN
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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