# PROFESSIONAL PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1720282247
- **Authorized official:** DANA CARTER (OFFICE MANAGER)
- **Authorized official phone:** (662) 247-4446

## Contact information

- **Practice address:** 401 N HAYDEN ST, BELZONI, MS 39038-3639
- **Practice address phone:** (662) 247-4446
- **Practice address fax:** (662) 247-2772
- **Mailing address:** 401 N HAYDEN ST, BELZONI, MS 39038-3639
- **Mailing address phone:** (662) 247-4446
- **Mailing address fax:** (662) 247-2772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT1324 | MS | Yes |
| 225100000X | Physical Therapist | PT3777 | MS | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020