| NPI | 1457656639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WEILENMAN SELLERS Physical Therapist 601-717-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT3632) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2012-07-17 |