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Organization
GPTRS II
Active
Organization
GPTRS II
Active
Other names
Genesis Physical Therapy and Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY H TRUSSELL PT (DIRECTOR)
(601) 898-4324
Entity
Organization
Contact information
Practice address
728 CLINTON PARKWAY, SUITE A, CLINTON, MS 39056
(601) 898-7527
(601) 898-7577
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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