Individual
SANDRA L. OURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3095 SELLERS DR, OAKLAND, TN 38060-4727
(901) 830-8231
Mailing address
3095 SELLERS DR, OAKLAND, TN 38060-4727
(901) 830-8231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP000487
TN
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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