Individual
OLIVIA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3045 KATE BOND RD, MEMPHIS, TN 38133-4004
(901) 937-3200
(901) 383-1738
Mailing address
5118 PARK AVE STE 610, MEMPHIS, TN 38117-5714
(901) 761-4263
(901) 761-4226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6476
TN
Other
Enumeration date
02/18/2020
Last updated
02/25/2020
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