| NPI | 1891319927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HUNTER STARK Owner / Physical Therapist 601-540-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |