Provider Demographics
NPI:1598883449
Name:ERVIN NORTH, PAULA M (PT PHYSICAL THERAPIS)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:M
Last Name:ERVIN NORTH
Suffix:
Gender:F
Credentials:PT PHYSICAL THERAPIS
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:M
Other - Last Name:ERVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5141 FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:615-794-4488
Mailing Address - Fax:615-794-4488
Practice Address - Street 1:1224 TROTWOOD AVE
Practice Address - Street 2:MAURY REGIONAL HOSPITAL
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-380-4014
Practice Address - Fax:931-380-4107
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000000828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist