| NPI | 1366951139 |
|---|---|
| Doing Business As | 2083 THERAPY OF MADISON |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |