| NPI | 1699094102 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JULIE MCGLASSON Dir Lic & Cert 615-406-3997  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-05-24 | 
| Last Update Date | 2025-10-27 |