| NPI | 1407470990 |
|---|---|
| Doing Business As | HATTIESBURG CLINIC TATUM PARK |
| Entity Type | Organization |
| Authorized Contact | TOMMY G THORNTON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-09 |