Individual
CLETIS MATHEW LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4367
(931) 815-4630
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5059
TN
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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