Takeisha Christa Anderson
Occupational Therapy Assistant
4467 E Mallory Ave
Memphis
, Tennessee 38117-6939
Takeisha Christa Anderson
Occupational Therapy Assistant
4467 E Mallory Ave
Memphis
, Tennessee 38117-6939
(901) 428-5266
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Takeisha Christa Anderson
- 4467 E Mallory Ave
- Memphis, TN
- Zip : 38117-6939
- Phone : (901) 428-5266
Second Address
- Takeisha Christa Anderson
- 4467 E Mallory Ave
- Memphis, TN
- Zip : 38117-6939
- Phone : (901) 428-5266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 3156 | TN |
National Provider Identifier
| NPI | 1013573237 |
|---|---|
| Provider Name | Takeisha Christa Anderson |
| First Address | Memphis, TN 38117-6939 |
| Second Address | Memphis, TN 38117-6939 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2019 |
| Last Update Date | 13/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.