Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2728 | TN |
NPI | 1609268358 |
---|---|
Provider Name | Mrs. Valery Hanks |
First Address | Nashville, TN 37232-8590 |
Second Address | Nashville, TN 37232-8590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 04/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2728 | TENNESSEE OCCUPATIONAL THERAPY LICENSE NUMBER (01) | TN |