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Organization
GPTRS II
Active
Organization
GPTRS II
Active
Other names
Genesis Physical Therapy and Rehabilitation Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET STEVENS JONES (ADMINISTRATOR)
(601) 898-4324
Entity
Organization
Contact information
Practice address
227 HIGHWAY 51, RIDGELAND, MS 39157-4423
(601) 898-4324
(601) 898-4325
Mailing address
227 HIGHWAY 51, RIDGELAND, MS 39157-4423
(601) 898-4324
(601) 898-4325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3765
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410455061
BLUE CROSS STEGALL
MS
01
—
425069689F
BLUE CROSS TRUSSELL
MS
Enumeration date
12/07/2009
Last updated
12/07/2009
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