Tn Pediatric Therapy Llc | |
204 Gadd Rd Chattanooga TN 37415-1838 | |
(561) 716-0804 | |
Not Available |
Full Name | Tn Pediatric Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 204 Gadd Rd, Chattanooga, Tennessee |
Authorized Official Name and Position | Jason Elowitz (OWNER) |
Authorized Official Contact | 5617160804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tn Pediatric Therapy Llc 204 Gadd Rd Chattanooga TN 37415-1838 Ph: (561) 716-0804 | Tn Pediatric Therapy Llc 204 Gadd Rd Chattanooga TN 37415-1838 Ph: (561) 716-0804 |
NPI Number | 1134792120 |
---|---|
Provider Enumeration Date | 07/19/2021 |
Last Update Date | 07/19/2021 |
Certification Date | 07/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134792120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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