Provider Demographics
NPI:1104099035
Name:ISAACKS, GLORIA (MS, OTR/L,MT-BC, NMT)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:ISAACKS
Suffix:
Gender:F
Credentials:MS, OTR/L,MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 OAK DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2328
Mailing Address - Country:US
Mailing Address - Phone:615-933-9456
Mailing Address - Fax:615-334-3521
Practice Address - Street 1:201 OAK DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2328
Practice Address - Country:US
Practice Address - Phone:615-933-9456
Practice Address - Fax:615-334-3521
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN05213225A00000X
TN4276225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist