Organization
CAMELOT OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D LONG (SENIOR VP & CFO)
(512) 858-9900
Entity
Organization
Contact information
Practice address
800 RIDGE AVE, PULASKI, VA 24301-3943
(540) 980-1007
Mailing address
4207 E HIGHWAY 290, DRIPPING SPRINGS, TX 78620-4206
(512) 858-9900
(512) 858-9901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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