MEDICARE: MERCYVETTE FLORES SAEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	1123	TN

General Provider Information

NPI Number	:	1467383083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCYVETTE FLORES SAEZ

Provider Business Mailing Address
First Line	:	851 PROFESSIONAL PARK DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-5257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 PROFESSIONAL PARK DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-5257
Country	:	US
Telephone Number	:	939-400-9810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ MERCYVETTE FLORES SAEZ ” Practice Location

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