Individual
MRS. MARYANN LANDISE SKODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9282 INGLESIDE FARM N, GERMANTOWN, TN 38139-6719
(901) 756-7356
(901) 756-1349
Mailing address
PO BOX 381642, GERMANTOWN, TN 38183-1642
(901) 756-7356
(901) 756-1349
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3074
TN
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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