West Tennessee Regional Office

NPI #1629360375 in Arlington, Tennessee

Provider Information

NPI Number: 1629360375
Entity Type: Organization
Organization Name: West Tennessee Regional Office
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 12, 2011
Last Updated: May 12, 2011

Practice Location

Address: 11293 MEMPHIS ARLINGTON RD
City: Arlington
State: Tennessee
ZIP Code: 38002-7978
Phone: (901) 745-7573

Authorized Official

Name: MRS. ANJALI VASISHTA, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (901) 745-7573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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