| NPI | 1033653670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P GALLOWAY Occupational Therapist/ Owner 601-493-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: CO OT.0000937) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000647) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2021-11-15 |