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Organization
TULLAHOMA PEDIATRIC THERAPY, LLC
Active
Organization
TULLAHOMA PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M MILLER (OWNER)
(931) 581-9018
Entity
Organization
Contact information
Practice address
1282 TURKEY CREEK DR, TULLAHOMA, TN 37388-4672
(931) 581-9018
(931) 623-6133
Mailing address
1282 TURKEY CREEK DR, TULLAHOMA, TN 37388-4672
(931) 581-9018
(931) 623-6133
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/17/2020
Last updated
01/20/2024
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