| NPI | 1760196349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA KENYATTA LINDSEY Kinesiotherapist 601-214-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |