Individual
DANILO CORREA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4982 LEBANON PIKE, SUITE C, OLD HICKORY, TN 37138-4107
(615) 232-9201
(615) 232-9202
Mailing address
3017 MELBOURNE CT E, MOUNT JULIET, TN 37122-7540
(615) 232-9201
(615) 232-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2748
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3648489
—
TN
01
—
4100736
BCBS BILLING #
TN
Enumeration date
02/20/2007
Last updated
07/09/2007
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