| NPI | 1801360672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S COBB Owner 423-505-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-04-15 |