| NPI | 1669688891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY KEITH GANEY Managing Partner 228-385-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT0841) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-04-28 |