Individual
MR. MARC JONATHAN DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
102 FIELDCREST CIR, HENDERSONVILLE, TN 37075-7082
(615) 429-1631
(615) 824-5971
Mailing address
102 FIELDCREST CIR, HENDERSONVILLE, TN 37075-7082
(615) 429-1631
(615) 824-5971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2460
TN
Other
Enumeration date
08/14/2006
Last updated
12/29/2014
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