Individual
SAVANNAH LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
109 WESTPARK DR, STE 105, BRENTWOOD, TN 37027-5063
(615) 376-9633
Mailing address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2720
TN
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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