| NPI | 1528258811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE REECE Authorized Official 662-728-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: pt2339) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2018-08-22 |