| NPI | 1255472403 |
|---|---|
| Former Legal Business Name | FULL SPECTRUM REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | LANA KAREEN BROOME Owner/President 931-906-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT 6520) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN OT 2156) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-04-20 |