Individual
MARY ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
112 SKIATOOK WAY, LOUDON, TN 37774-2151
(651) 587-4257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5110
TN
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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