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Organization

PAMELA BOOKOUT, PRT PC

Active
Other names
Physical Therapy Services, Physical Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN PAUL SCHULTHEISS CPA (INACTIVE), MS (OPERATIONS MANAGER)
(423) 622-2402
Entity
Organization

Contact information

Practice address
503 S GERMANTOWN RD, CHATTANOOGA, TN 37411-5028
(423) 622-2402
(423) 622-8778
Mailing address
PO BOX 1566, CHATTANOOGA, TN 37401-1566
(423) 622-2402
(423) 622-8778

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/13/2007
Last updated
06/17/2021
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