Individual
MARTHA LANE MCALISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 FERNSPRING CV, GERMANTOWN, TN 38138-3116
(479) 236-5546
Mailing address
1836 FERNSPRING CV, GERMANTOWN, TN 38138-3116
(479) 236-5546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6684
TN
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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