Individual
MRS. GWENDOLYN ANN CLARK MANLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
504 ELMINGTON AVE, NASHVILLE, TN 37205
(615) 460-1339
(615) 297-7524
Mailing address
1207 HOMEWOOD COURT, FRANKLIN, TN 37067
(615) 460-1368
(615) 297-7524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1241
TN
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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