| NPI | 1639102650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SON DIEP LE Owner/Physician 615-872-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 35117) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-03-08 |