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Organization
JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC
Active
Organization
JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE A PATE M.A. CCC-SLP (OWNER)
(904) 509-7100
Entity
Organization
Contact information
Practice address
234 E MAIN ST, JOHNSON CITY, TN 37604-5708
(904) 509-7100
Mailing address
234 E MAIN ST, JOHNSON CITY, TN 37604-5708
(904) 509-7100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
672988
TN
Other
Enumeration date
12/07/2011
Last updated
12/10/2011
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