| NPI | 1184264947 |
|---|---|
| Other Name | TITLE (OPTIONAL) |
| Entity Type | Organization |
| Authorized Contact | LISA JAIN Physical Therapist/Owner 901-229-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |