# PHYSICAL THERAPY PROFESSIONALS

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

## Provider details

- **NPI number:** 1538473368
- **Authorized official:** CLAUDIE LEON TINGLE JR. MSPT (OWNER/DIRECTOR)
- **Authorized official phone:** (228) 769-0112

## Contact information

- **Practice address:** 926 JACKSON AVE, PASCAGOULA, MS 39567
- **Practice address phone:** (228) 769-0112
- **Practice address fax:** (228) 769-0199
- **Mailing address:** P.O. BOX 1661, PASCAGOULA, MS 39567-1661
- **Mailing address phone:** (228) 769-0112
- **Mailing address fax:** (228) 769-0199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT3068 | MS | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | MS | — |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 11/10/2014