| NPI | 1669749735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEE ARMSTRONG Gateway Program Director 601-579-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |