Organization
MOBILE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC TARR DPT, OCS (PRESIDENT/PHYSICAL THERAPIST)
(606) 474-7649
Entity
Organization
Contact information
Practice address
144 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-7649
(606) 474-0855
Mailing address
144 S CAROL MALONE BLVD, GRAYSON, KY 41143-1352
(606) 474-7649
(606) 474-0855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002054
KY
225X00000X
Occupational Therapist
KY-R2263
KY
235Z00000X
Speech-Language Pathologist
KY-1422
KY
Other
Enumeration date
08/05/2007
Last updated
01/31/2012
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