| NPI | 1134135833 |
|---|---|
| Doing Business As | GENESIS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CLARENCE WAYNE WHITLEY C.O.O. 601-898-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-04-20 |