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Cletis Mathew Lawson, OT

Occupational Therapist in McMinnville, TN. Individual provider (NPI-1).

NPI number1164099743
StatusActive
Last updated in NPPESJun 10, 2021

Details

NPI
1164099743
Entity type
Individual (NPI-1)
Name
Cletis Mathew Lawson
Credential
OT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2021
Certification date
Jun 10, 2021
Last updated
Jun 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5059TNYes

Practice location

1559 Sparta St
McMinnville, TN 37110-1316

Phone 931-815-4367 · Fax 931-815-4630

Mailing address

Po Box 306393
Nashville, TN 37230-6393

Phone 615-373-1350 · Fax 615-221-9054

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