Individual
ELLEN ELIZABETH COLE-WESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
705 E POPLAR AVE, SUITE 101, SELMER, TN 38375-1828
(731) 453-5511
(731) 646-0285
Mailing address
5118 PARK AVE, SUITE 106, MEMPHIS, TN 38117-5720
(731) 453-5511
(731) 646-0285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT2500
MS
225X00000X
Occupational Therapist
Primary
OT4254
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2500
BOARD OF OCCUPATIONAL THERAPY
MS
01
—
OT4254
BOARD OF OCCUPATIONAL THERAPY
TN
Enumeration date
09/07/2010
Last updated
09/23/2010
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