| NPI | 1639568231 |
|---|---|
| Doing Business As | HOLY CITY PEDIATRIC THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | KELLYE TOLLEY Occupational Therapist 423-388-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 3907) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2023-02-22 |