| NPI | 1063042166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M MILLER Owner 931-581-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2024-01-20 |