Provider First Line Business Practice Location Address:
DEPARTMENT OF REHABILITATION SERVICES TVC SUITE 1702
Provider Second Line Business Practice Location Address:
1301 22ND AVENUE SOUTH
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37232-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-322-5000
Provider Business Practice Location Address Fax Number:
615-936-7331
Provider Enumeration Date:
11/27/2007