| NPI | 1487869699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KIRK FRANKS Vice President 662-231-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3059) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |