| NPI | 1538104153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY C SHINALL President 662-238-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-11-09 |