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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
ASHLEY BUIE (BILLING SUPERVISOR)
(601) 898-7530
Entity
Organization
Contact information
Practice address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7527
(601) 898-7577
Mailing address
214 PARKWAY EAST, MADISON, MS 39110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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