Provider Demographics
NPI:1568832384
Name:FREEMAN, ISAIAH
Entity Type:Individual
Prefix:
First Name:ISAIAH
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 37TH AVE N
Mailing Address - Street 2:B11
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4854
Mailing Address - Country:US
Mailing Address - Phone:901-647-9622
Mailing Address - Fax:
Practice Address - Street 1:211 37TH AVE N
Practice Address - Street 2:B11
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4854
Practice Address - Country:US
Practice Address - Phone:901-647-9622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant