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Organization
DRAYER PHYSICAL THERAPY JACKSON LLC
Active
Organization
DRAYER PHYSICAL THERAPY JACKSON LLC
Active
Other names
Performance Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J WILLIAMS (PRESIDENT AND CEO)
(717) 220-2100
Entity
Organization
Contact information
Practice address
7213 S SIWELL RD, SUITE A, BYRAM, MS 39272-9776
(601) 346-9191
(601) 346-5011
Mailing address
7213 S SIWELL RD, SUITE A, BYRAM, MS 39272-9776
(601) 346-9191
(601) 346-5011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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