| NPI | 1437444726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN MICHAEL BURKE Doctor Of Physical Therapy/Owner 601-329-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT24543) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |