Individual
THOMAS WYWROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
504 ELMINGTON AVE, NASHVILLE, TN 37205-2508
(615) 292-4900
Mailing address
8113 BOONE TRCE, NASHVILLE, TN 37221-6553
(615) 420-0582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2276
TN
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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