# MCCANDLESS PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 360 Total Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508084211
- **Authorized official:** STEVEN COLE (PRESIDENT)
- **Authorized official phone:** (601) 605-6777

## Contact information

- **Practice address:** 2625 COURTHOUSE CIR, FLOWOOD, MS 39232-9521
- **Practice address phone:** (601) 932-8555
- **Practice address fax:** (601) 932-8551
- **Mailing address:** 711 AVIGNON DR, RIDGELAND, MS 39157-5120
- **Mailing address phone:** (601) 605-6777
- **Mailing address fax:** (800) 517-6935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT0153 | MS | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 04/20/2010
