Individual
MR. MATTHEW TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
302 WESLEY ST, SUITE 8, JOHNSON CITY, TN 37601-1740
(423) 282-1700
Mailing address
3379 ROCK HOLD RD, BLUFF CITY, TN 37618-3501
(423) 366-1994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4700
TN
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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