| NPI | 1093109639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN B HOWE 1st President/Owner 601-259-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT2361) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PTA3488) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT4447) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT1451) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PTA5587) | |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2015-10-28 |