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 Clinic/Center |
Enumeration Date | 2021-02-08 |
Last Update Date | 2021-02-08 |