Individual
MADDIE ROSEMARY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
(615) 871-8200
Mailing address
4347 LEBANON PIKE, HERMITAGE, TN 37076-1243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000002864
TN
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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