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Organization

CAMELOT OUTPATIENT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES LONG (SENIOR VP & CFO)
(512) 858-9900
Entity
Organization

Contact information

Practice address
17 RIDGEWAY ROAD, NORRIS, TN 37828
(512) 858-9900
(512) 858-9901
Mailing address
4207 E HWY 290, DRIPPING SPRINGS, TX 78620-4206
(865) 494-5554
(865) 494-5535

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
03/19/2010
Last updated
02/14/2011
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