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Organization

NEURO THERAPY NASHVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRISTA MCCLARNON OTR (OWNER/OCCUPATIONAL THERAPIST)
(615) 974-5221
Entity
Organization

Contact information

Practice address
246 WILSON PIKE CIR STE D, BRENTWOOD, TN 37027-2746
(615) 236-6566
(615) 209-9816
Mailing address
4713 RICHMAR CT, NASHVILLE, TN 37211-4341
(615) 974-5221

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2251N0400X
Neurology Physical Therapist
225X00000X
Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
02/20/2019
Last updated
07/23/2019
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