Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4943 | TN |
NPI | 1285836999 |
---|---|
Provider Name | Mrs. Erin Rawling Cornell |
First Address | Nashville, TN 37204-3708 |
Second Address | Nashville, TN 37204-3708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 18/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
41043100 | (05) | WI |
P00882931 | RR MEDICARE (01) | WI |
Q016905 | (05) | TN |