| NPI | 1528012739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE DWAYNE SINGLETARY Co Owner, President 601-842-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3303) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT0483) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |