| NPI | 1104985399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SMILO President 601-445-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2021-09-23 |