NPI 1619451739

Mose and Garrison Siskin Memorial Foundation, INC.

Organisation Early Intervention Provider Agency Chattanooga, TN

Practice location

Address: 1101 Carter St, Chattanooga, TN 37402-5017
Phone: (423) 490-7710
Fax: (423) 490-7750

Authorised official

Name: Stephanie Cooper-Wilkes
Title: Director Healthcare Administration
Phone: (423) 490-7727

Registered specialties (4)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1619451739
Entity type: Organization
NPI issued: 25 Sep 2018
Record last updated: 5 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.