Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT0000002584 | TN |
NPI | 1407046568 |
---|---|
Provider Name | Mr. Robert Winslow Knight |
First Address | Nashville, TN 37232-0014 |
Second Address | Nashville, TN 37232-0014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 25/07/2007 |