MEDICARE: DR. RUTH ANN FORD EDD, MSBS, OTRL, BC

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
1	225X00000X	Occupational Therapist	OT0000003466	TN

General Provider Information

NPI Number	:	1912071200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH ANN FORD EDD, MSBS, OTRL, BC

Provider Business Mailing Address
First Line	:	111 CORNERSTONE CIR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4763
Country	:	US
Telephone Number	:	615-613-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 BELMONT BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3758
Country	:	US
Telephone Number	:	615-460-6708
Fax Number	:	615-460-6475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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