Organization
CUMBERLAND REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ALLEN (MANAGING MEMBER)
(931) 400-0725
Entity
Organization
Contact information
Practice address
1227 N WASHINGTON AVE STE 106, COOKEVILLE, TN 38501-1837
(931) 400-0725
(931) 400-0726
Mailing address
1227 N WASHINGTON AVE STE 106, COOKEVILLE, TN 38501-1837
(931) 400-0725
(931) 400-0726
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032252
—
TN
Enumeration date
11/05/2017
Last updated
03/29/2023
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