Individual
LUIS ESTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 ARROWOOD DR, CLARKSVILLE, TN 37042-5186
(786) 294-4874
Mailing address
847 CHERRY BLOSSOM LN, CLARKSVILLE, TN 37040-6239
(786) 294-4874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00000002654
TN
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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