| NPI | 1629082045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY J. NICHOLS Owner/Therapist 228-818-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT0286) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-12-19 |