Organization
NHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DAWN ESTES (OCCUPATIONAL THERAPIST ASSISTANT)
(931) 528-0250
Entity
Organization
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 646-7216
Mailing address
1221 BUCKINGHAM PL, COOKEVILLE, TN 38501-0730
(931) 528-0250
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
898
TN
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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