| NPI | 1972028520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN H HARRELL Physical Therapist/Owner 601-528-1994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT4487) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |