| NPI | 1184768376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET STEVENS JONES Administrator 601-898-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MS PT3765) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: MS PT0695) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-05-02 |