Individual
JESSICA S DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
515 RIVERGATE PKWY, SUITE 201, GOODLETTSVILLE, TN 37072-2011
(615) 859-7775
(615) 859-7772
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4302777
BCBS OF TN
TN
Enumeration date
06/29/2011
Last updated
10/25/2011
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