| NPI | 1538108196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB ZIGENFUS Controller 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-24 |