| NPI | 1467136820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MAXWELL RODGERS Owner/Physical Therapist 501-359-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-18 |