| NPI | 1568815744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRAKSHI DUBEY President 662-269-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS TA3236) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT0732) |
| 235Z00000X Speech-Language Pathologist (Licence: MS ST3991) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-08-31 |