# SOUTHERN PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023383569
- **Authorized official:** DR. JANICE T. TREGRE DPT (OWNER)
- **Authorized official phone:** (601) 336-8287

## Contact information

- **Practice address:** 7 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
- **Practice address phone:** (601) 336-8287
- **Mailing address:** 7 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
- **Mailing address phone:** (601) 336-8287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3956 | MS | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 02/27/2015