| NPI | 1780706853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENA ANN MCCONNELL Credentialing 865-694-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 20611) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-11-19 |