| NPI | 1407994692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BRADLEY WILSON President Owner 931-381-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 1648) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-08-22 |