| NPI | 1619351517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RON FREEMAN CEO/Owner 601-529-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MS PT0703) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |