| NPI | 1841780970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARIE BURKS Co Owner 423-645-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 7352) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |