| NPI | 1730388554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN ALLEEN MAYFIELD President 228-818-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT3521) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |