Organization
HERMITAGE THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNE J RANSOM MSP, CCC-SLP (DIRECTOR)
(803) 414-0441
Entity
Organization
Contact information
Practice address
5041 TIMBER TRAIL DR, MOUNT JULIET, TN 37122-6344
(803) 414-0441
Mailing address
5041 TIMBER TRAIL DR, MOUNT JULIET, TN 37122-6344
(803) 414-0441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/30/2019
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