Individual
MISTY MICHELLE MINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 FULLER ESTATE CIR, MORRISTOWN, TN 37813-1035
(423) 839-9336
Mailing address
315 FULLER ESTATE CIR, MORRISTOWN, TN 37813-1035
(423) 839-9336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1190
TN
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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