Individual
KATLYN CHYANNE MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
534 INDIAN AVE, OAK GROVE, KY 42262-9106
(606) 306-5225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3897
TN
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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