| NPI | 1609411354 |
|---|---|
| Doing Business As | ENDURACARE PONTOTOC |
| Entity Type | Organization |
| Authorized Contact | RUBY BARNHILL Provider Enrollment Coordinator 615-861-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |