| NPI | 1790800894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY HOLIFIELD Office Manager 601-428-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT0780) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |