| NPI | 1366404311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT QUIN SIRMON Owner 601-264-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT3909) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-10-28 |