| NPI | 1164419222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN CASCIO Office Manager 662-455-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2015-02-19 |