| NPI | 1588697999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO GENTICA GERSAVA Owner 901-465-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-08-05 |