Healthcare Provider Details

I. General information

NPI: 1275727679
Provider Name (Legal Business Name): PIPER L SESNAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 PONTY POOL DR
MOUNT JULIET TN
37122-7454
US

IV. Provider business mailing address

2106 PONTY POOL DRIVE
MT JULIET TN
37122
US

V. Phone/Fax

Practice location:
  • Phone: 615-268-8449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0000003168
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: