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Organization
PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization
PERFORMANCE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE REECE (AUTHORIZED OFFICIAL)
(662) 728-7218
Entity
Organization
Contact information
Practice address
809 N 2ND ST, BOONEVILLE, MS 38829
(662) 728-7218
(662) 728-7228
Mailing address
809 N 2ND ST, BOONEVILLE, MS 38829-1309
(662) 728-7218
(662) 728-7228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2339
NULL
225100000X
Physical Therapist
Primary
PT2339
—
Other
Enumeration date
08/01/2007
Last updated
08/22/2018
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