| NPI | 1649560046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RENEE BYRD Office Manager 601-845-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT1702) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-01-23 |