Organization
PRIMROSE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDLEY PRIMROSE (OCCUPATIONAL THERAPIST)
(731) 336-7352
Entity
Organization
Contact information
Practice address
430 S LAKE ST, PARIS, TN 38242-4573
(731) 336-7352
(731) 407-7277
Mailing address
430 S LAKE ST, PARIS, TN 38242-4573
(731) 336-7352
(731) 407-7277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q183776567
—
TN
Enumeration date
03/31/2021
Last updated
01/03/2023
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