Individual provider · Type 1 NPI
Sonja Teresa Dishman, COTA/L
Nursing Facility/Intermediate Care Facility · Jamestown, TN
Practice location
521 Potter Rd
Jamestown, TN 38556-4120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 1477 (TN) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
About NPI 1912289208
Sonja Teresa Dishman, COTA/L's National Provider Identifier is 1912289208, issued on Sep 13, 2011. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Jamestown, TN. The record was last updated on Sep 13, 2011.