| NPI | 1639681877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BENEDICT Owner 865-947-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2025-03-31 |