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Organization
SCENIC CITY PEDIATRIC THERAPY LLC
Active
Organization
SCENIC CITY PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE COOPER (DIRECTOR)
(423) 455-8358
Entity
Organization
Contact information
Practice address
5819 WINDING LN STE 101, HIXSON, TN 37343-4067
(615) 512-8448
(800) 470-1905
Mailing address
5819 WINDING LN STE 101, HIXSON, TN 37343-4067
(615) 512-8448
(800) 470-1905
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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