Individual
MALLORY MACEYAK-BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
(615) 460-1339
Mailing address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5012
TN
Other
Enumeration date
12/11/2014
Last updated
01/17/2024
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