| NPI | 1336291749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RON FREEMAN Owner 601-638-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0703) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |