| NPI | 1326488263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BEACHAM Office Manager 601-898-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT1151) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2022-02-10 |