| NPI | 1619245511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIESHAE ANGELIS Occupational Therapist 901-859-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 2269) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |