| NPI | 1770771602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C CLOPTON Owner 931-372-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT2435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT1594) |
| 2251N0400X Physical Therapist, Neurology (Licence: TN PT1594) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TN PT1594) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TN OT2435) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT2435) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN SP3418) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2013-03-21 |