# PEDIATRIC THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215052691
- **Authorized official:** TARALYN BERNARD (OWNER)
- **Authorized official phone:** (901) 864-4030

## Contact information

- **Practice address:** 6099 MOUNT MORIAH ROAD EXT, 3M, MEMPHIS, TN 38115-0313
- **Practice address phone:** (901) 864-4030
- **Practice address fax:** (888) 252-7902
- **Mailing address:** 6099 MOUNT MORIAH ROAD EXT, 3M, MEMPHIS, TN 38115-0313
- **Mailing address phone:** (901) 864-4030
- **Mailing address fax:** (888) 252-7902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 3655612 | TN | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 06/24/2008