Individual
MELISSA BLAIR GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5320
Mailing address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 516-5320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2374
TN
224Z00000X
Occupational Therapy Assistant
A02386
MD
Other
Enumeration date
09/13/2016
Last updated
04/28/2020
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