| NPI | 1376946160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L WILLIAMS Owner 662-473-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-22 |