| NPI | 1871522052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENA ANN MCCONNELL Credentialing 865-694-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-12-22 |