Individual
ERIN L FONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, CPAM, OTR/L
Contact information
Practice address
2986 KATE BOND RD, BARTLETT, TN 38133-4003
(901) 820-7430
(901) 820-7431
Mailing address
2986 KATE BOND RD, BARTLETT, TN 38133-4003
(901) 820-7430
(901) 820-7431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4583
TN
Other
Enumeration date
12/23/2011
Last updated
09/17/2014
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