| NPI | 1952498552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD HILL Owner 662-227-9748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT2219) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-04-25 |