| NPI | 1962032755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE SUTTERFIELD WALTERS Owner 601-308-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2021-12-28 |