| NPI | 1124364245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROELOF VAN DER MEULEN Member/Owner 865-776-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: TN 4175) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-27 |