| NPI | 1699918375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HOLLIS LLC President 731-234-4962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 6042) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2009-04-11 |