Organization
OPTIMUS HEALTH CENTER, INC.
Active
Other names
St. Luke's Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
FIORELLO ERICO N. PACIA JR. (OWNER/PHYSICAL THERAPIST)
(865) 475-3101
Entity
Organization
Contact information
Practice address
657 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4906
(865) 475-3101
(865) 475-9213
Mailing address
657 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4906
(865) 475-3101
(865) 475-9213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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