Individual
MRS. MELISSA JANE CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
566 OLD DANDRIDGE PIKE, STRAWBERRY PLAINS, TN 37871-3838
(865) 933-8246
(865) 465-3154
Mailing address
PO BOX 182, STRAWBERRY PLAINS, TN 37871-0182
(865) 933-8246
(865) 465-3154
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2772
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4146896
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/11/2007
Last updated
08/11/2007
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