| NPI | 1801985528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN DEWAYNE CARTER Administrator 901-837-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 2580) |
| 225100000X Physical Therapist (Licence: TN 569) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-08-02 |