| NPI | 1639268071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MARK WINSTEAD Owner/Therapist 601-650-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT0928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT0751) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-11-02 |