| NPI | 1215074984 |
|---|---|
| Doing Business As | LARRY K VUNCANNON |
| Entity Type | Organization |
| Authorized Contact | LARRY KEITH VUNCANNON Owner 662-424-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT1052) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-09-26 |