Memphis Myofascial Release, LLC

NPI #1013291855 in Memphis, Tennessee

Provider Information

NPI Number: 1013291855
Entity Type: Organization
Organization Name: Memphis Myofascial Release, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 28, 2011
Last Updated: Nov 14, 2011

Practice Location

Address: 95 S MAIN ST
Address 2: #105
City: Memphis
State: Tennessee
ZIP Code: 38103-2944
Phone: (901) 435-6045

Authorized Official

Name: MRS. JULIE A LEIGH, OTR/L
Title: OCCUPATIONAL THERAPIST & OWNER
Phone: (901) 435-6045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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