| NPI | 1104235266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRIAN FLOWERS Physical Therapist 228-366-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: MS PT4308) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MS PT4308) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT4308) | |
| Enumeration Date | 2014-08-03 |
| Last Update Date | 2014-08-03 |