Individual
DANIEL TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 415-2010
Mailing address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5230
TN
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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