| NPI | 1538806500 |
|---|---|
| Doing Business As | TRI-VISTA REHAB |
| Entity Type | Organization |
| Authorized Contact | KATHY SIMPSON Practice Manager 662-840-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-05-20 |