Individual
MRS. MATTIE CLYDE DANABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OCCUPATION
Contact information
Practice address
504 ELMINGTON AVE, RICHLAND PLACE, NASHVILLE, TN 37205
(615) 292-4900
(615) 297-7524
Mailing address
3940 AUGUSTA, NASHVILLE, TN 37207
(615) 299-9136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
82
TN
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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