Individual
PETER GICHERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
(901) 754-1393
(901) 571-9799
Mailing address
955 N GERMANTOWN PKWY, CORDOVA, TN 38018-6215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1666
TN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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