| NPI | 1033148606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE NELSON Assistant Administratrator 865-981-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |