Organization
RESIDENTIAL TELETHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUSHALI NAIK PT (PHYSICAL THERAPIST)
(912) 667-7874
Entity
Organization
Contact information
Practice address
8885 THREE CHIMNEYS DR. E, GERMANTOWN, TN 38138
(912) 667-7874
Mailing address
8885 THREE CHIMNEYS DR. E, GERMANTOWN, TN 38138
(912) 667-7874
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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