Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4473 | TN |
NPI | 1275905598 |
---|---|
Provider Name | Caleb Templeton |
First Address | Nashville, TN 37232-0014 |
Second Address | Nashville, TN 37232-0014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2015 |
Last Update Date | 26/10/2015 |