Individual
SUSAN M. MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., OT
Contact information
Practice address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6511
(901) 448-7097
Mailing address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6511
(901) 448-7097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000000035
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4033534
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
07/02/2006
Last updated
07/08/2007
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