Organization
WEST TENNESSEE REGIONAL OFFICE
Active
Organization
WEST TENNESSEE REGIONAL OFFICE
Active
Other names
Divison for Development and Intellectual Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANJALI VASISHTA OTR/L (OCCUPATIONAL THERAPIST)
(901) 745-7573
Entity
Organization
Contact information
Practice address
11293 MEMPHIS ARLINGTON RD, ARLINGTON, TN 38002-7978
(901) 745-7573
(901) 745-7468
Mailing address
P.O BOX 949, 11293 MEMPHIS ARLINGTON RD, ARLINGTON, TN 38002
(901) 745-7573
(901) 745-7468
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
OT1340
TN
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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