| NPI | 1720162662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN MASTALERZ Owner/Administrator 931-388-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT2044) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT6832) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-02-23 |