Organization
CONTINUUM HEALTHCARE STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT YATES OTDR/L (MEMBER)
(931) 510-8832
Entity
Organization
Contact information
Practice address
819 OAKLAWN CT, COOKEVILLE, TN 38501-2921
(931) 510-8832
Mailing address
819 OAKLAWN CT, COOKEVILLE, TN 38501-2921
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
3389
TN
225XP0200X
Pediatric Occupational Therapist
3741
TN
225XP0200X
Pediatric Occupational Therapist
Primary
4058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134351562
NPI
—
05
—
Q001989
—
TN
Enumeration date
06/17/2014
Last updated
06/17/2014
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