| NPI | 1336367135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BENTON Owner,Manager 601-845-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS P.T.0978) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |