Organization
REHAB & PAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RESA BARAWID P.T. (SECRETARY)
(901) 870-4302
Entity
Organization
Contact information
Practice address
9160 HIGHWAY 64 STE 3, LAKELAND, TN 38002-8094
(901) 388-4474
(901) 388-4486
Mailing address
PO BOX 171422, MEMPHIS, TN 38187-1422
(901) 870-4302
(901) 388-4486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0002435
TN
Other
Enumeration date
09/22/2006
Last updated
02/06/2008
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