| NPI | 1275621369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH Z BOZLEE Owner 228-867-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT1109) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |