Individual
MRS. DEBRA MCLEMORE DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
765 BERT JOHNSTON AVE, COVINGTON, TN 38019-2414
(901) 475-0027
Mailing address
3012 ELGIN DR, MEMPHIS, TN 38115-2213
(901) 565-0896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4690819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4690819
CERTIFICATION NUMBER
TN
Enumeration date
10/24/2006
Last updated
07/08/2007
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