NPI | 1932104619 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI WRIGHT Partner/Owner 662-241-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2005-06-17 |
Last Update Date | 2010-05-05 |