| NPI | 1356604110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY RUSSELL Manager 423-238-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XE1200X Occupational Therapist, Ergonomics | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-01-10 |