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Organization

TRI CITY THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA FANSLER (OWNER)
(276) 258-5045
Entity
Organization

Contact information

Practice address
15575 LEE HWY, BRISTOL, VA 24202-3801
(276) 258-5045
(276) 258-5046
Mailing address
15575 LEE HWY, BRISTOL, VA 24202-3801
(276) 258-5045
(276) 258-5046

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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Product
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  • EDI platform