| NPI | 1679668784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L. MONDAY Billing Admin 601-296-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-08-07 |