Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 2264 | TN |
NPI | 1346873981 |
---|---|
Provider Name | Mr. Francisco D Nayan JR. |
First Address | Memphis, TN 38104-4012 |
Second Address | Cordova, TN 38018-6376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2020 |
Last Update Date | 21/02/2020 |