| NPI | 1225414717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA B SULARIN Executive Director, P.T. 901-568-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MS PT0828) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT2977) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S3688) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |