Organization
CLARKSVILLE THERAPY PROFESSIONALS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB CLOUSER (AGENT)
(931) 919-3833
Entity
Organization
Contact information
Practice address
1552 APACHE WAY, CLARKSVILLE, TN 37042-8178
(931) 919-3833
Mailing address
PO BOX 31842, CLARKSVILLE, TN 37040-0031
(931) 919-3833
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4105
TN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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