| NPI | 1568455889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE S WALTERS CEO 601-308-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS 0524742) |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: MS 0524742) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2017-11-16 |