| Fairview Pediatric Therapy | |
|
2092 Fairview Blvd Ste 103, Fairview, TN 37062-6012 | |
| (629) 250-9317 | |
| Not Available |
| Full Name | Fairview Pediatric Therapy |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2092 Fairview Blvd Ste 103, Fairview, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659008027 | NPI | - | NPPES |
| Q031734 | Medicaid | TN | |
| Q004435 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Pediatric Therapy 7716 Hudlow Ct, Fairview, TN 37062-7331 Ph: (615) 582-2942 | Fairview Pediatric Therapy 2092 Fairview Blvd Ste 103, Fairview, TN 37062-6012 Ph: (629) 250-9317 |
Brittany Bowen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1712 Fairview Blvd Ste 101, Fairview, TN 37062 Phone: 629-250-9317 |
Sarah Brooks Fox, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7103 Hall Ln, Fairview, TN 37062 Phone: 615-336-3117 |