| NPI | 1932291002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RENEE BERGER Owner 423-227-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 5322) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |