Individual
NISHA M PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
131 N TUCKER ST, MEMPHIS, TN 38104-2636
(901) 726-5600
Mailing address
6237 SIERRA DR, OLIVE BRANCH, MS 38654-7964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3848
TN
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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