| NPI | 1891880415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BELLNER Md 865-330-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TN 35462) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-07-03 |