MINI MIRACLES PEDIATRIC THERAPY, PLLC

JOHNSON CITY, TN
NPI1477991560
Entity TypeOrganization
Authorized ContactDOUGLAS EDWIN BROWN
CEO/Owner
601-624-1237
Organization Subpart ?No
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: VA  4611)
Additional Taxonomies251C00000X Day Training, Developmentally Disabled Services
(Licence: VA  0119003962)
Enumeration Date2013-06-11
Last Update Date2023-10-03
Business Address
MINI MIRACLES PEDIATRIC THERAPY, PLLC
2214 E FAIRVIEW AVE
JOHNSON CITY, TN 37601-2860
Phone number: 423-928-6464
Mailing Address
MINI MIRACLES PEDIATRIC THERAPY, PLLC
PO BOX 191
JOHNSON CITY, TN 37605-0191
Phone number: 423-534-8897