Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 3648 | TN |
NPI | 1144527789 |
---|---|
Provider Name | Danielle L Malone |
First Address | Nashville, TN 37205-2245 |
Second Address | Nashville, TN 37205-2245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2011 |
Last Update Date | 17/02/2011 |