Full Spectrum Pediatric Therapy, Inc.
NPI #1255472403 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1255472403
- Entity Type
- Organization
- Organization Name
- Full Spectrum Pediatric Therapy, Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 9, 2007
- Last Updated
- Apr 20, 2022
Practice Location
- Address
- 298 WARFIELD BLVD, SUITE C
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043-1896
- Phone
- (931) 906-0440
Authorized Official
- Name
- MRS. LANA KAREEN BROOME, OTR/L
- Title
- OWNER/PRESIDENT
- Phone
- (931) 906-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Physical Therapist |
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