NPI | 1528569316 |
---|---|
Doing Business As | TRISTAR PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JORDAN CHASE BLACK Owner 423-317-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2024-12-12 |