| NPI | 1124182571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. LEECH Insurance Coordinator 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 7169A) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |