NPI | 1063125094 |
---|---|
Entity Type | Organization |
Authorized Contact | SHALI NICOLE DENISON Clinical Director/Ot 423-736-7369 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-01-04 |