| NPI | 1700288974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILGIA PRUMBS Member 423-246-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN PT2424) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |