Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2565 | TN |
NPI | 1205074309 |
---|---|
Provider Name | Nancy Fell |
First Address | Chattanooga, TN 37403-1306 |
Second Address | Chattanooga, TN 37403-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 27/01/2009 |