| NPI | 1104157940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN E VALENZUELA President 423-240-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2023-08-16 |