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 |