| NPI | 1194135699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALPA V DOMADIA Office Manager 931-494-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9740) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |