Floyd Pediatric Therapy and Intervention for Tic Disorders
NPI #1861081572 in Mount Juliet, Tennessee
Provider Information
- NPI Number
- 1861081572
- Entity Type
- Organization
- Organization Name
- Floyd Pediatric Therapy and Intervention for Tic Disorders
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 16, 2021
- Last Updated
- Jan 16, 2021
Practice Location
- Address
- 651 S MOUNT JULIET RD
- City
- Mount Juliet
- State
- Tennessee
- ZIP Code
- 37122-6319
- Phone
- (757) 969-2300
Authorized Official
- Name
- ROBERT FOREMAN
- Title
- BILLING
- Phone
- (630) 216-9437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
| Occupational Therapist |
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