| NPI | 1114330545 |
|---|---|
| Doing Business As | TENNESSEE DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES |
| Entity Type | Organization |
| Authorized Contact | LANCE DEREK IVERSON Deputy Commissioner 615-253-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2016-06-29 |