| NPI | 1780002287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHHLEY MOORE Owner 615-788-0492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 4595) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |