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Individual

PRISCILLA PETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 CHERRY RD, MEMPHIS, TN 38117-5431
(901) 930-0817
(901) 930-0818
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6771
TN

Other

Enumeration date
03/29/2021
Last updated
03/29/2021
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