| NPI | 1013409853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LOUISE BARNES Executive Director 901-361-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: TN I000000022219) |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care (Licence: TN I000000022219) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |