Organization
ADVANCE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY E ALLEN OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(901) 428-3445
Entity
Organization
Contact information
Practice address
2597 AVERY AVE, MEMPHIS, TN 38112-4818
(901) 416-2700
Mailing address
1290 PINNACLE POINT DR, COLLIERVILLE, TN 38017-1364
(901) 428-3445
(901) 854-9261
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
3164
TN
252Y00000X
Early Intervention Provider Agency
3164
TN
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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