Individual
KELLIE GOTANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4027 HILLSBORO PIKE STE 801, NASHVILLE, TN 37215-2734
(615) 385-2201
(615) 383-8590
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13663
TN
225100000X
Physical Therapist
—
TN
Other
Enumeration date
04/19/2021
Last updated
06/09/2021
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