NPI | 1245636323 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BENETTO Credentialing Manager 423-238-8923 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2014-11-17 |
Last Update Date | 2017-08-31 |