Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 5493 | TN |
NPI | 1033452784 |
---|---|
Provider Name | Mrs. Leah Michelle Carney |
First Address | Brentwood, TN 37027-7509 |
Second Address | Brentwood, TN 37027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 01/04/2013 |