Individual
MARY E CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7820 WALKING HORSE CIR, GERMANTOWN, TN 38138-2143
(901) 752-2500
Mailing address
1144 L H POLK ST, MARION, AR 72364-5010
(901) 550-2774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2629
TN
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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