Organization
NEUROLOGY REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ELEAZER (PRACTICE MANAGER)
(865) 694-6919
Entity
Organization
Contact information
Practice address
320 PARK 40 NORTH BLVD, SUITE B, KNOXVILLE, TN 37923
(865) 690-6660
(865) 690-6676
Mailing address
PO BOX 53028, KNOXVILLE, TN 37950-3028
(865) 694-6919
(865) 694-4339
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
TN
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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