Organization
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
Active
Organization
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
Active
Parent organization
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
Other names
Siskin Children's Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC.
Authorized official
STEPHANIE COOPER-WILKES (DIRECTOR HEALTHCARE ADMINISTRATION)
(423) 490-7727
Entity
Organization
Contact information
Practice address
1101 CARTER ST, CHATTANOOGA, TN 37402-5017
(423) 490-7710
(423) 490-7750
Mailing address
1101 CARTER ST, CHATTANOOGA, TN 37402-5017
(423) 490-7710
(423) 490-7750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
10/05/2018
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