| NPI | 1639172653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI L. PESCE Systems Administrator 901-257-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000001467) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-05-15 |