| NPI | 1285963256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIEN HUBBARD Vice President 662-513-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |