Fairview Pediatric Therapy

NPI #1659008027 in Fairview, Tennessee

Provider Information

NPI Number
1659008027
Entity Type
Organization
Organization Name
Fairview Pediatric Therapy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 4, 2022
Last Updated
Aug 25, 2022

Practice Location

Address
2092 FAIRVIEW BLVD STE 103
ZIP Code
37062-6012
Phone
(629) 250-9317

Authorized Official

Name
KELLY BRUCE, MOT, OTR/L
Title
OCCUPATIONAL THERAPIST/CO-OWNER
Phone
(615) 582-2942

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics
Speech-Language Pathologist

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