| NPI | 1114253077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SNAPP Owner 662-327-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS pt0648) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |