Camelot Outpatient Services, LLC

Organization Active NPI Occupational Therapist · Pulaski, VA

NPI 1275855603 · NPPES record last updated Feb 26, 2010

Key facts

NPI
1275855603
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
Legal business name
CAMELOT OUTPATIENT SERVICES, LLC
Practice address
800 Ridge Ave
Pulaski, VA 24301-3943
Phone
(540) 980-1007
NPI assigned
Feb 26, 2010
Organization subpart
No

Authorized official

Name
James D Long
Title
Senior VP & Cfo
Phone
(512) 858-9900

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Camelot Outpatient Services LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X Yes

Addresses

Primary practice location

800 Ridge Ave
Pulaski, VA 24301-3943

Mailing address

4207 E Highway 290
Dripping Springs, TX 78620-4206
Phone (512) 858-9900

Other providers in Pulaski, VA

All providers in Pulaski, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.