Most Relevant Information
Provider Data
| NPI Number: | 1003309717 |
| Provider Name: | ANDREA ELIZABETH MANSOUR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2018 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
313 SCOTTISH CT
FRANKLIN
TN
370642953
Practice Location Phone/Fax
| Phone: | 2489334248 |
| Fax: |
Provider Mailing Location
201 GILLESPIE DR APT 10108
FRANKLIN
TN
370675712
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |