Individual
MRS. CONSTANCE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3180 PROFESSIONAL PLZ STE 101, GERMANTOWN, TN 38138-1534
(901) 328-2104
Mailing address
8767 OVERCUP OAKS DR, CORDOVA, TN 38018-0427
(662) 897-3059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT2571
MS
225XP0200X
Pediatric Occupational Therapist
Primary
5594
TN
Other
Enumeration date
06/19/2013
Last updated
12/27/2022
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