Individual
PAM OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 WILLOW RUN, MCMINNVILLE, TN 37110-3547
(314) 288-5207
Mailing address
41 WILLOW RUN, MCMINNVILLE, TN 37110-3547
(314) 288-5207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000002321
TN
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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