| NPI | 1104032465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS KNOSE Vice Presidant 901-759-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 204667) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: TN 204667) |
| 2251N0400X Physical Therapist Neurology (Licence: TN 204667) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TN 204667) | |
| 225400000X Rehabilitation Practitioner (Licence: TN 204667) | |
| 235Z00000X Speech-Language Pathologist (Licence: TN 204667) | |
| 261QR0400X Clinic/Center Rehabilitation (Licence: TN 0446575) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-09-01 |