| NPI | 1730362211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONDA BRICE Owner/Office Manager 423-921-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TN PT0000001848) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-05-08 |