| NPI | 1124538863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILES NORRIS Physical Therapist/Owner 662-232-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |