| NPI | 1093576050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE ALYSIA HIRSCH Director 865-386-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |