Individual
KRYSTAL L MACLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
8017 DOGWOOD LANE, MILAN, TN 38358
(731) 686-8373
Mailing address
776 WALKER RD APT B, JACKSON, TN 38305-3677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3221
TN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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