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Customized Physical Therapy Valid NPI

Organization · Physical Therapy Clinic/Center · Hattiesburg, MS

NPI
1851448708
Type
Organization (Type 2)
Primary specialty
Physical Therapy Clinic/Center (Clinic/Center)
Specialty group
Ambulatory Health Care Facilities
Taxonomy code
261QP2000X
License number
PT 1137 (MS)
Enumerated
2007-01-04
Last updated
2020-08-22
Practice location
103 Fox Chase Dr
Hattiesburg, MS 39402-2575
(601) 408-8700

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