| NPI | 1851448708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA M RIMES Owner 601-408-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT 1137) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |