| NPI | 1346332574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: MS PT2964) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-02-04 |