| NPI | 1528502267 |
|---|---|
| Other Name | BENCHMARK PT - OLIVER'S CROSSING |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle 423-238-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2017-09-01 |