| NPI | 1528426376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LATHAM Doctor Of Physical Therapy 615-604-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 036762) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2025-07-08 |