| NPI | 1114229226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WEISBERG Owner 865-357-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 0000005995) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |