| 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 |