| NPI | 1699105049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED ABDU Owner/Manager 885-661-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000004178) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |