Organization
MOUNTAIN CITY PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY ANDERSEN (OTR/L, OWNER)
(423) 218-9729
Entity
Organization
Contact information
Practice address
146 CALVARY LANE, MOUNTAIN CITY, TN 37683
(423) 218-9729
(423) 727-0730
Mailing address
146 CALVARY LANE, MOUNTAIN CITY, TN 37683
(423) 218-9729
(423) 727-0730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/15/2020
Last updated
11/29/2022
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