Individual
MARY ELLEN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
301 21ST AVE N, NASHVILLE, TN 37203-1821
(615) 329-6600
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3087
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3656253
—
TN
Enumeration date
11/02/2005
Last updated
03/23/2022
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