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Individual

TERRI LYNN ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
1430 CORPORATE PARKWAY BLVD, CLARKSVILLE, TN 37040-6196
(931) 245-0679
(931) 245-0682
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5171
TN

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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