Individual
MR. ERYAN RYDELL SINGALAWA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6733 QUINCE RD, MEMPHIS, TN 38119-8602
(901) 755-3860
Mailing address
2791 COLONIAL TOWERS DR, CORDOVA, TN 38016-4635
(901) 426-9612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3663
BOARD OF OT LICENSE NUMBER
TN
Enumeration date
08/01/2022
Last updated
08/01/2022
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