Individual
RISHI VIKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-5189
Mailing address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5028
TN
Other
Enumeration date
08/06/2014
Last updated
09/05/2014
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