Individual
DESIREE VONTA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 HAYES ST STE 155, NASHVILLE, TN 37203-2646
(615) 284-7010
(615) 284-7016
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6615
TN
Other
Enumeration date
05/25/2021
Last updated
12/02/2021
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