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Organization
THERAPY CENTER INC
Active
Organization
THERAPY CENTER INC
Active
Other names
Marino Therapy Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN E. JOHNSTON (C.E.O.)
(865) 558-6484
Entity
Organization
Contact information
Practice address
8904 CROSS PARK DR, KNOXVILLE, TN 37923-4703
(865) 690-2671
(865) 690-6445
Mailing address
PO BOX 32709, KNOXVILLE, TN 37930-2709
(865) 558-6484
(865) 584-4037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3652871
—
TN
05
—
3655350
—
TN
01
—
5966012
AETNA PROVIDER # PRACTICE
TN
01
—
820764
CIGNA HEALTHCARE #
TN
01
—
CH4394
MEDICARE-RAILROAD
TN
Enumeration date
05/11/2006
Last updated
08/23/2012
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