| NPI | 1043694946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD SMITH Owner, Chief Executive Officer 601-260-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MS PT4493) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-08-27 |