| NPI | 1063001089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KLING Credentialing Specialist 615-744-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2022-09-27 |