Organization
LTC THERAPY SOLUTIONS LLC
Active
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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