Organization
ORANGE GROVE CENTER INC
Active
Organization
ORANGE GROVE CENTER INC
Active
Parent organization
ORANGE GROVE CENTER INC
Other names
Orange Grove Center Therapy Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORANGE GROVE CENTER INC
Authorized official
MS. TERA ROBERTS (CEO)
(423) 493-2910
Entity
Organization
Contact information
Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 629-1451
(423) 493-2950
Mailing address
615 DERBY ST, ATTENTION: HEALTH INFORMATICS & REIMBURSEMENT, CHATTANOOGA, TN 37404-1632
(423) 493-2906
(423) 493-2950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00000065
TN
225X00000X
Occupational Therapist
00000065
TN
235Z00000X
Speech-Language Pathologist
00000065
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531219
—
TN
Enumeration date
12/13/2006
Last updated
03/04/2024
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