NPI | 1821152877 |
---|---|
Doing Business As | V A SOUTH |
Entity Type | Organization |
Authorized Contact | MARCUS T HARRIS Owner 601-927-7671 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT3192) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT2019) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |