Individual
BILLI JO A EHRENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(188) 860-5906
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006983
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP006983
—
PA
Enumeration date
02/18/2022
Last updated
02/18/2022
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