Individual
MICHAEL SINCLAIR SEGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
104 WATSON RD, SPRINGFIELD, TN 37172-4510
(615) 384-6414
Mailing address
3730 WILSON SCHOOL RD, HENDERSON, TN 38340-3786
(731) 435-0104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3153
TN
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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