| NPI | 1215896600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SHOEMAKER Owner 601-832-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-09-11 |