| NPI | 1205099934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN K. SISCO Sole Proprietor 901-292-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MS PT4292) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |