| NPI | 1548405236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS T HARRIS Owner 601-636-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3192) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MS S3299) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS PT3192) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |