| NPI | 1124194022 |
|---|---|
| Other Name | THE PEDIATRIC PLACE |
| Entity Type | Organization |
| Authorized Contact | ROBERT W ZIGENFUS Manager Of Payor Contracting 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |