Individual
MRS. TENISHA C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E MTCS RD, MURFREESBORO, TN 37129-1524
(615) 849-8748
Mailing address
202 E MTCS RD, MURFREESBORO, TN 37129-1524
(615) 849-8748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000002211
TN
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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