NPI | 1720282247 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA CARTER Office Manager 662-247-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT1324) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT3777) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2020-08-22 |