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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURIE KUSH (EXECUTIVE DIRECTOR)
(615) 794-1150
Entity
Organization

Contact information

Practice address
1549 OLD HILLSBORO RD, FRANKLIN, TN 37069
(615) 794-1150
(615) 794-7973
Mailing address
1549 OLD HILLSBORO RD, FRANKLIN, TN 37069-9136
(615) 794-1150
(615) 794-7973

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/23/2013
Last updated
06/06/2018
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