Individual
LAURA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
(931) 542-2168
(931) 542-2206
Mailing address
134 SHADY MAPLE DR, CLARKSVILLE, TN 37043-6234
(615) 497-7603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4179
TN
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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