| NPI | 1932234788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM STEELE Administrative Director 423-894-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-04-14 |