Individual
MRS. AUTUMN MICHELLE LONG MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
801 E MCKEE ST, GREENEVILLE, TN 37743-6010
(423) 638-9226
Mailing address
801 E MCKEE ST, GREENEVILLE, TN 37743-6010
(423) 638-9226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3580
TN
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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