Organization
CANNON COUNTY BOARD OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PARKER (DISTRICT SIGNEE)
(615) 563-5752
Entity
Organization
Contact information
Practice address
301 W MAIN ST, WOODBURY, TN 37190-1100
(423) 622-1551
(877) 856-7133
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
(423) 622-1551
(877) 856-7133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
06/29/2017
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