| NPI | 1396037339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M GANNON Medical Director 931-854-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 1785) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2019-11-06 |