| NPI | 1740617901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROQUE FLESTADO ESTIPONA President 901-461-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 4215) |
| 225100000X Physical Therapist (Licence: TN 3815) | |
| 225X00000X Occupational Therapist (Licence: TN 1006) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2016-01-22 |