Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 2251G0304X | Physical Therapist - Geriatrics |
NPI | 1316242027 |
---|---|
Provider Name | Miss Argie Lorriane Allen |
First Address | Nashville, TN 37208-1204 |
Second Address | Nashville, TN 37208-1204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 16/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8023 | PHYSICAL THERAPY STATE LICENSE NUMBER (01) | TN |