NPI | 1780077016 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN E VALENZUELA President/PT 423-240-0512 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT2178) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |