NPI | 1326364910 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN J PRICE Owner/Manager 601-441-9821 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS 12115999) |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2010-04-08 |
Last Update Date | 2010-04-08 |