| Organization Name: | FULL SPECTRUM REHAB CENTER INC |
| NPI Number: | 1255472403 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANA K BROOME (PRESIDENT) |
| Mailing Address: | 1842 Wilma Rudolph Blvd Clarksville |
| State: | TN US |
| Postal Code: | 370406750 |
| Phone Number: | 9319060440 |
| Fax Number: | 9319205070 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 6520 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |