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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