| NPI | 1184299273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE RUSSELL Business Office Manager 601-987-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-06-14 |