| NPI | 1447886122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANEY NIELSEN Co Owner/Physical Therapist 931-222-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |