| NPI | 1265746309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIE LEON TINGLE Partner/Physical Therapist 228-696-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MS PT3068) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |