| NPI | 1538514484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN LONG Executive Director 901-249-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |