Individual
MAURICE MOTTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4816 RIVERDALE RD, MEMPHIS, TN 38141-8529
(901) 522-6830
(901) 737-7926
Mailing address
4816 RIVERDALE RD, MEMPHIS, TN 38141-8529
(901) 522-6830
(901) 737-7926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5286
LICENSE
TN
Enumeration date
08/30/2006
Last updated
12/09/2010
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