| NPI | 1083123624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCGLASSON Director, Licensing/Certification 615-406-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2025-10-28 |