Mcdivitt, Justin Oran

Mcdivitt, Justin Oran is an sole proprietor health care provider with primary practice located at 815 S Walnut Ave , Cookeville TN 38501-5956. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mcdivitt, Justin Oran can be contacted via phone (931) 646-7216.

Contact Information

Primary practice address
815 S Walnut Ave Cookeville TN 38501-5956
Phone: (931) 646-7216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4071 Tennessee

Profile Details

NPI number 1053613802
LBN Legal business name Mcdivitt, Justin Oran
Credentials OTD, R/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2010
Last updated Nov 30th, 2010 - about 14 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.

Request for update

Popular Providers