NPI | 1619918026 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA MUSIC Director, Provider Enrollment 615-465-7377 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-06-08 |
Last Update Date | 2024-10-01 |