Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT0000000437 | TN |
N | 225XH1200X | Occupational Therapist - Hand | 03042 | MD |
NPI | 1275672990 |
---|---|
Provider Name | Ms. Karen L Manley |
First Address | Memphis, TN 38138-3657 |
Second Address | Memphis, TN 38138-3657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 04/08/2015 |