Johnson City Physical Occupational Speech Outpatient Therapy, Pllc
NPI #1992073738 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1992073738
- Entity Type
- Organization
- Organization Name
- Johnson City Physical Occupational Speech Outpatient Therapy, Pllc
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Dec 7, 2011
- Last Updated
- Dec 10, 2011
Practice Location
- Address
- 234 E MAIN ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-5708
- Phone
- (904) 509-7100
Authorized Official
- Name
- MR. LANCE A PATE, M.A. CCC-SLP
- Title
- OWNER
- Phone
- (904) 509-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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