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Individual

MR. KYLE THOMAS EMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
301 21ST AVE N, NASHVILLE, TN 37203-1821
(615) 329-6600
Mailing address
PO BOX 105132, ATLANTA, GA 30348-5132
(615) 329-2294

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2688
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3656390
TN
Enumeration date
11/02/2005
Last updated
01/21/2010
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