| NPI | 1003363623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT QUIN SIRMON Physical Therapist 601-596-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-23 |