Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COOK (RECREATION THERAPIST)
(901) 523-8990
Entity
Organization
Contact information
Practice address
1030 JEFFERSON AVE, (117RT), MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1153 GREENVIEW RD, COLLIERVILLE, TN 38017-6884
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
09/07/2007
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