Healthcare Provider Details

I. General information

NPI: 1972015428
Provider Name (Legal Business Name): HANNA AMES READ OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 10/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 21ST AVE S
NASHVILLE TN
37232-0035
US

IV. Provider business mailing address

1312 21ST AVE S
NASHVILLE TN
37232-0035
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-9055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5591
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: