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NPI Code Detail

MEDICARE: TERRI-LEE GLEASON

MEDICARE:   TERRI-LEE  GLEASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1093282865
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI-LEE GLEASON
Provider Business Mailing Address
First Line : 1173 ROCK SPRINGS RD STE 105
Second Line :
City : SMYRNA
State : TN
Zip : 37167-8414
Country : US
Telephone Number : 615-302-2121
Fax Number : 615-226-2839
Provider Business Practice Location Address
First Line : 230 GREAT CIRCLE RD STE 202
Second Line :
City : NASHVILLE
State : TN
Zip : 37228-1710
Country : US
Telephone Number : 615-226-2840
Fax Number : 615-226-2839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2018
Last Update Date : 11/29/2018

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Directions to “ TERRI-LEE GLEASON ” Practice Location

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