| NPI | 1164612248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABLOO CHACKO Administrator 615-452-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: TN 446693) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2009-11-13 |