Organization
TRI CITY THERAPY, LLC
Active
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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