Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 7956 | TN |
NPI | 1316330574 |
---|---|
Provider Name | Andrea Donald |
First Address | Nashville, TN 37232-8590 |
Second Address | Nashville, TN 37232-8590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2015 |
Last Update Date | 12/03/2015 |