Elizabeth Fine

Individual provider Active NPI Pediatric Occupational Therapist · Clinton, TN

NPI 1063259976 · NPPES record last updated Jul 9, 2024

Key facts

NPI
1063259976
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Practice address
210 N Hicks St
Clinton, TN 37716-2920
Phone
(865) 457-0616
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Yes

Addresses

Primary practice location

210 N Hicks St
Clinton, TN 37716-2920

Mailing address

878 Little Valley Rd
Blaine, TN 37709-5054
Phone (865) 806-3915

Other names

  • Elizabeth Hodge Former name

Other providers in Clinton, TN

All providers in Clinton, TN · Pediatric Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.