| NPI | 1184763914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DILWORTH Credentialing Insurance Coordinator 615-591-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 3348) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-04-07 |