# HOMETOWN THERAPY LLC

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

## Provider details

- **NPI number:** 1306600341
- **Authorized official:** CRAIG NELSON HOWARD DPT (PRESIDENT)
- **Authorized official phone:** (601) 497-4469

## Contact information

- **Practice address:** 2509 OLD BRANDON RD STE C, PEARL, MS 39208-4610
- **Practice address phone:** (601) 487-6814
- **Practice address fax:** (601) 487-6815
- **Mailing address:** PO BOX 54163, PEARL, MS 39288-4163
- **Mailing address phone:** (601) 487-6814
- **Mailing address fax:** (601) 487-6815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 06/05/2024