| NPI | 1073778742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVELLE R HARDIN Managed Care Analyst 615-344-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2009-06-24 |