| NPI | 1477066439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JO R BEVERLY Owner/Physical Therapist Assistant 229-225-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |