Sue Ellen Close
Physical Medicine & Rehabilitation in Lewisburg, TN. Individual provider (NPI-1).
NPI number1679040232
StatusActive
Last updated in NPPESOct 31, 2018
Details
- NPI
- 1679040232
- Entity type
- Individual (NPI-1)
- Name
- Sue Ellen Close
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2018
- Last updated
- Oct 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 489 | TN | Yes |
Practice location
1653 Mooresville HwyLewisburg, TN 37091-1413
Phone 931-359-4506 · Fax 931-359-8139
Mailing address
1653 Mooresville HwyLewisburg, TN 37091-1413
Phone 931-359-4506 · Fax 931-359-8139
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