| NPI | 1982651493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TUESCA Co Owner 931-540-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 5265) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 371) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |