Individual
JENNIFER STACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6526 ALTRURIA CREEK CT, BARTLETT, TN 38135-9235
(901) 361-1291
Mailing address
6526 ALTRURIA CREEK CT, BARTLETT, TN 38135-9235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003655
TN
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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