| NPI | 1689693855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANI DEVON CAMPBELL CEO 731-641-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-12-15 |