| NPI | 1083850770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER T STEWART Owner 601-466-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS 3116) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2010-04-23 |