| NPI | 1073746152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S. TRUSSELL Owner 601-296-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 20628) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2010-06-30 |