| NPI | 1881078723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR LING Physical Therapist 901-395-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7772) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |