| NPI | 1700338852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CAIN LANGLEY Manager 662-242-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT3788) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |