| NPI | 1154753986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN ROBERTS Owner 601-942-2709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: MS 45OT073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT0987) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-07-08 |