| NPI | 1184655284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE P. TAN Administrator 423-748-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT00573) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-07-17 |