| NPI | 1962822239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT PATEL Manager 865-333-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN PT0000005104) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2016-10-24 |