Organization
LTC THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH KAVANAGH PHYSICAL THERAPIST (PRESIDENT OF RECONNECT THERAPY)
(662) 680-3148
Entity
Organization
Contact information
Practice address
2400 E MITCHELL ST, HUMBOLDT, TN 38343-3036
(731) 784-5183
(731) 784-2105
Mailing address
2400 E MITCHELL ST, HUMBOLDT, TN 38343-3036
(731) 784-5183
(731) 784-2105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1553
TN
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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