NPI | 1316707946 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA MICHALLE MASSEY Owner/ Physical Therapist 601-481-5815 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-05-10 |