Provider Demographics
NPI:1639346273
Name:EBERLINE EPPERT, MARY CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARY CHRISTINE
Middle Name:
Last Name:EBERLINE EPPERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:M. CHRISTINE
Other - Middle Name:
Other - Last Name:EPPERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:307 ARNOLD RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5124
Mailing Address - Country:US
Mailing Address - Phone:615-943-6970
Mailing Address - Fax:
Practice Address - Street 1:4715 HARDING PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2809
Practice Address - Country:US
Practice Address - Phone:615-269-9712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN479225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics