Individual
EMILY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
(615) 871-8283
Mailing address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(865) 531-2204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3118
TN
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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