Individual
MARK BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTL
Contact information
Practice address
902 BUCHANAN RD, NEW TAZEWELL, TN 37825-7410
(423) 626-8215
Mailing address
608 NEW ST, NEW TAZEWELL, TN 37825-7429
(865) 585-7886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1597
TN
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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