Harrison, Amanda Grace

Harrison, Amanda Grace is an individual health care provider with primary practice located at 514 S Brown St , Springfield TN 37172-2937. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Harrison, Amanda Grace can be contacted via phone (615) 382-0500.

Contact Information

Primary practice address
514 S Brown St Springfield TN 37172-2937
Phone: (615) 382-0500
Fax: (615) 382-0501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 6023 Tennessee

Profile Details

NPI number 1265912950
LBN Legal business name Harrison, Amanda Grace
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Sep 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265912950 NPPES
Tennessee MEDICAID Q038378

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