| NPI | 1770060964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY R CUSTER Owner/Physical Therapist 601-831-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3255) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |