Individual
METTA DEVINE-QIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CUMBERLAND AVE STE 110, MADISON, TN 37115-3339
(615) 596-1830
Mailing address
1450 CAMPBELL RD, GOODLETTSVILLE, TN 37072-4112
(615) 314-7665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7597
TN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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