| NPI | 1831453687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BRICE REED Owner 601-597-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |