Camelot Outpatient Services, LLC

NPI #1144544172 in Norris, Tennessee

Provider Information

NPI Number: 1144544172
Entity Type: Organization
Organization Name: Camelot Outpatient Services, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 19, 2010
Last Updated: Feb 14, 2011

Practice Location

Address: 17 RIDGEWAY ROAD
City: Norris
State: Tennessee
ZIP Code: 37828
Phone: (512) 858-9900

Authorized Official

Name: JAMES LONG
Title: SENIOR VP & CFO
Phone: (512) 858-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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