| NPI | 1770928533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PATTERSON Owner 731-300-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000003309) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-08-04 |