Individual
MARY L PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
950 CHERRY RD, MEMPHIS, TN 38117-5431
(901) 930-0817
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 427-4111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6297
TN
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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