| NPI | 1891102315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE A DORROH President 662-258-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS 7877945) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-08-14 |