| NPI | 1407445588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CALEB WILSON Physical Therapist 931-260-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |