Individual
EMILY DIANE BURNS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BSOT
Contact information
Practice address
515 RIVERGATE PKWY, 201, GOODLETTSVILLE, TN 37072
(615) 859-7775
(615) 859-7772
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(615) 342-6300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3410
TN
Other
Enumeration date
03/23/2006
Last updated
07/06/2018
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