| NPI | 1922542646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WAYNE HINTON Physical Therapist 662-415-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5534) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS 2957) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS s3887) | |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2017-01-05 |