NPI | 1609127083 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES BUTCH SLAUGHTER Owner 601-906-0386 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
2251P0200X Physical Therapist, Pediatrics | |
2251S0007X Physical Therapist, Sports | |
225X00000X Occupational Therapist | |
225XG0600X Occupational Therapist, Gerontology (Licence: MS PT0161) | |
Enumeration Date | 2012-09-26 |
Last Update Date | 2012-09-26 |