Basic Information
Provider Information
NPI: 1942645593
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GREER
FirstName: HOLLY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 681478
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370681478
CountryCode: US
TelephoneNumber: 6155916590
FaxNumber: 6155916601
Practice Location
Address1: 5505 EDMONDSON PIKE
Address2: STE. 103
City: NASHVILLE
State: TN
PostalCode: 372115872
CountryCode: US
TelephoneNumber: 6158311710
FaxNumber: 6158311968
Other Information
ProviderEnumerationDate: 05/08/2013
LastUpdateDate: 05/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X4757TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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