| NPI | 1730165184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE TIFFANY FELTZ Director 615-220-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2010-09-20 |