| NPI | 1407270333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E. FLOYD President 601-606-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT2003) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MS PT1764) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |