NPI | 1477670081 |
---|---|
Other Name | MID-SOUTH |
Entity Type | Organization |
Authorized Contact | JACK ANTHONY ELLIS Physical Therapist 205-914-8588 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4693) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |