Organization
VILLAGES CHILD DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANEY NIELSEN PT, DPT (CO-OWNER/PHYSICAL THERAPIST)
(931) 222-4107
Entity
Organization
Contact information
Practice address
1766 MAYFLOWER DR, COLUMBIA, TN 38401-5191
(931) 222-4107
Mailing address
1766 MAYFLOWER DR, COLUMBIA, TN 38401-5191
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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