| NPI | 1679565949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN POUNDERS Office Manager 662-241-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |