Organization
FULL SPECTRUM PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA KAREEN BROOME OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(931) 906-0440
Entity
Organization
Contact information
Practice address
298 WARFIELD BLVD STE C, CLARKSVILLE, TN 37043-1828
(931) 906-0440
Mailing address
298 WARFIELD BLVD STE C, CLARKSVILLE, TN 37043-1828
(931) 906-0440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2324
TN
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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