Organization
OCOEE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTIS BRANDON FORRESTER D.C. (PRESIDENT)
(423) 479-4220
Entity
Organization
Contact information
Practice address
4220 OCOEE ST N, CLEVELAND, TN 37312-4829
(423) 479-4220
(423) 339-0294
Mailing address
4220 OCOEE ST N, CLEVELAND, TN 37312-4829
(423) 479-4220
(423) 339-0294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
TN
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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