| NPI | 1386147817 |
|---|---|
| Doing Business As | ACTIMED |
| Former Legal Business Name | AUTONOMY REHAB |
| Entity Type | Organization |
| Authorized Contact | JASPER WINTON ADCOCK Owner 601-722-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5208) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist (Licence: MS 2664) | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-02-23 |