| NPI | 1568840007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L JONES Owner 901-240-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 5455) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 5455) |
| 225100000X Physical Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2023-03-11 |