| NPI | 1578775771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JON KING Administrator 229-247-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-09-27 |