Individual
LENA ELIZABETH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
215 RICHARDSON WAY, MAYNARDVILLE, TN 37807-3803
(865) 992-5816
Mailing address
215 RICHARDSON WAY, MAYNARDVILLE, TN 37807-3803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1802
TN
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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