| NPI | 1467097576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CAMPBELL Owner 601-668-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-10-23 |