Organization
GASTON THERAPY, LLC
Active
Other names
Center for Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY CLEMENTS GASTON OTR/L (CHIEF MANAGER)
(423) 486-4060
Entity
Organization
Contact information
Practice address
112 JORDAN DR, CHATTANOOGA, TN 37421-6802
(423) 468-4060
(423) 468-4069
Mailing address
112 JORDAN DR, CHATTANOOGA, TN 37421-6802
(423) 468-4060
(423) 468-4069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2774
TN
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
1422
TN
2251P0200X
Pediatric Physical Therapist
2655
TN
225XP0200X
Pediatric Occupational Therapist
2796
TN
225XP0200X
Pediatric Occupational Therapist
Primary
377
TN
Other
Enumeration date
07/11/2007
Last updated
03/05/2014
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