Organization
THERAPY ABODE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALICIA J MOSS (OT)
(615) 516-7712
Entity
Organization
Contact information
Practice address
6157 GREENVALE RD, WATERTOWN, TN 37184-3812
(615) 516-7712
Mailing address
6157 GREENVALE RD, WATERTOWN, TN 37184-3812
(615) 516-7712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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