| NPI | 1295817153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DANIEL BOYD Physical Therapist 601-749-8146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT357) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-07-21 |