| NPI | 1295508679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTRELL WATT Occupational Therapist 901-921-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |