| NPI | 1689266009 |
|---|---|
| Doing Business As | REVIVE PELVIC HEALTH AND PHYSICAL THERAPY |
| Other Name | REVIVE PELVIC HEALTH AND PHYSICAL THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | VERONICA BARTON CEO 601-953-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |