Individual
HANNA GRACE IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
(931) 542-2206
Mailing address
1140 LAMONT CT, CLARKSVILLE, TN 37042-4715
(270) 227-3070
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7805
TN
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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