NPI | 1144340548 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS T HARRIS Owner 601-636-6019 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3192) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3573) |
225X00000X Occupational Therapist (Licence: MS OT2017) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |