| NPI | 1972808301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA LYN HACKER Director 901-262-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2016-08-09 |