| NPI | 1174169940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LONG CEO 931-241-1159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |