Organization
INNOVATIVE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH MULLINS OTR/L (OTR/L)
(423) 605-0642
Entity
Organization
Contact information
Practice address
1400 MCCALLIE AVE, SUITE 100, CHATTANOOGA, TN 37404
(423) 605-0642
(423) 521-8094
Mailing address
1400 MCCALLIE AVE, SUITE 100, CHATTANOOGA, TN 37404
(423) 605-0642
(423) 521-8094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3112
TN
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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