Individual
MS. MARY JOAN BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR
Contact information
Practice address
1415 SOMERSET AVE, MEMPHIS, TN 38104-6802
(901) 272-3141
Mailing address
1415 SOMERSET AVE, MEMPHIS, TN 38104-6802
(901) 272-3141
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000000158
TN
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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