Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 922 | TN |
NPI | 1124525548 |
---|---|
Provider Name | Dr. Patricia Johnson Flemming |
First Address | Franklin, TN 37067-7242 |
Second Address | Franklin, TN 37067-7242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2018 |
Last Update Date | 11/04/2018 |