Shine Pediatric Therapy
NPI #1891041133 in Springfield, Tennessee
Provider Information
- NPI Number
- 1891041133
- Entity Type
- Organization
- Organization Name
- Shine Pediatric Therapy
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Sep 2, 2019
Practice Location
- Address
- 514 S BROWN ST
- Address 2
- SUITE 600
- City
- Springfield
- State
- Tennessee
- ZIP Code
- 37172-2937
- Phone
- (615) 382-0500
Authorized Official
- Name
- DENISE THOMPSON
- Title
- BILLING/CREDENTIALING MANAGER
- Phone
- (615) 476-9730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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