Organization
THERAPEUTIC REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY LYNN OTIS OT (BUSINESS OWNER/OT)
(423) 310-0555
Entity
Organization
Contact information
Practice address
500 LEBANON VALLEY CHURCH RD, CLEVELAND, TN 37311-8477
(423) 310-0555
(423) 479-4421
Mailing address
500 LEBANON VALLEY CHURCH RD, CLEVELAND, TN 37311-8477
(423) 310-0555
(423) 479-4421
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514708
—
TN
Enumeration date
05/04/2007
Last updated
07/21/2022
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