| NPI | 1265616254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN H JENKINS Owner/Physical Therapist 662-890-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT0682) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |