| NPI | 1184162000 |
|---|---|
| Doing Business As | PEDIATRIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NANCY COGBURN Owner 865-654-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000010045) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |