| NPI | 1811062961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUD HOFF General Manager 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |