| NPI | 1316087240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA LYN SALERS Office Manager 601-664-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 3639PT) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |