Individual
MRS. KIMBERLY MICHELLE MUSICANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8426 SPRINGER DR, CORDOVA, TN 38018-6823
(901) 825-7788
(901) 624-8715
Mailing address
8426 SPRINGER DR, CORDOVA, TN 38018-6823
(901) 825-7788
(901) 624-8715
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0863
TN
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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