| NPI | 1083121370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON CHRISTOPHER ROBINSON Owner 865-234-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2020-08-06 |