Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 6557 | NC |
N | 225X00000X | Occupational Therapist | 8296 | CA |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4247 | TN |
NPI | 1154453173 |
---|---|
Provider Name | Ms. Rosemarie Jennifer Mexted |
First Address | Maryville, TN 37802-5209 |
Second Address | Maryville, TN 37804-5285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 04/08/2016 |