| NPI | 1871689851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE C ELLISON President/Owner 601-956-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS MS PT0747) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |