Individual
MS. MARY ELLEN HULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1237
(615) 893-1360
Mailing address
11101 JORDAN RD, LASCASSAS, TN 37085-4218
(615) 867-2692
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
25637
TN
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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