| NPI | 1558901736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROQUE FLESTADO ESTIPONA CEO/Administrator 901-461-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 251E00000X Home Health | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |