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 |