# SPECIALIZED PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1346317344
- **Authorized official:** MR. PAUL J FOSTER L.P.T.A. (MANAGER)
- **Authorized official phone:** (601) 420-0717

## Contact information

- **Practice address:** 533B KEYWAY DR, FLOWOOD, MS 39232-8809
- **Practice address phone:** (601) 420-0717
- **Practice address fax:** (601) 420-0957
- **Mailing address:** 533B KEYWAY DR, FLOWOOD, MS 39232-8809
- **Mailing address phone:** (601) 420-0717
- **Mailing address fax:** (601) 420-0957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 134 | MS | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 02/29/2012