Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT1371 | TN |
Y | 225XH1200X | Occupational Therapist - Hand | OT1371 | TN |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT1371 | TN |
NPI | 1053456798 |
---|---|
Provider Name | Mr. Ronnie Dale French |
First Address | Paris, TN 38242-5475 |
Second Address | Paris, TN 38242-5475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 09/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103I675463 | (02) | TN |
3535539 | CIGNA (01) | TN |
3656235 | (05) | TN |
4170934 | BLUECROSS BLUESHIELD OF TN (01) | TN |