NPI | 1427678069 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN ELIZABETH MACGUIRE BOLLING Manager And Sole Member 865-591-8477 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-07-29 |