| NPI | 1194102434 |
|---|---|
| Doing Business As | NEOLIFE PT AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ROBERT RAY ELLIS Physical Therapist/Owner 228-326-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT5070) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-07-05 |