| NPI | 1902497753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON BRYANT DODD Owner, Physical Therapist 601-590-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |