Individual
LUCY DALTON DIANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(901) 443-4330
Mailing address
8215 VICTORY TRL, BRENTWOOD, TN 37027-7374
(901) 605-2295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TN
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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