Individual
TARALYN BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6099 MT MORIAH RD EXT, SUITE 3M, MEMPHIS, TN 38115-0313
(901) 864-4030
(888) 252-7902
Mailing address
6099 MT MORIAH RD EXT, SUITE 3M, MEMPHIS, TN 38115-0313
(901) 864-4030
(888) 252-7902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000002114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3655612
—
TN
Enumeration date
09/03/2014
Last updated
09/03/2014
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