| NPI | 1700055977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN HEATH PEREZ Owner 423-894-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000004942) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |