| NPI | 1306358916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ALLEN Managing Member 931-400-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2023-03-29 |