| NPI | 1881968311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED HATHAWAY Doctor 901-566-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 2094) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |