Organization
BEANSTALK THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI MARCUM OT (OWNER/OCCUPATIONAL THERAPIST)
(773) 544-9928
Entity
Organization
Contact information
Practice address
211 E PARK CIR, DICKSON, TN 37055-2130
(773) 544-9928
(815) 531-0043
Mailing address
211 E PARK CIR, DICKSON, TN 37055-2130
(773) 544-9928
(815) 531-0043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5500
TN
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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