| NPI | 1528012739 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CLARENCE DWAYNE SINGLETARY Co Owner, President 601-842-6612  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT0483)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3303)  | 
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2025-09-11 |