| NPI | 1952792384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY READ LARRABEE Office Manager 865-804-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2016-11-30 |