# GPTRS II

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

## Provider details

- **NPI number:** 1861967010
- **Authorized official:** GREGORY H TRUSSELL (DIRECTOR)
- **Authorized official phone:** (601) 898-4324

## Contact information

- **Practice address:** 128 BYRAM BUSINESS CENTER DR, BYRAM, MS 39272-9636
- **Practice address phone:** (601) 502-1194
- **Mailing address:** 128 BYRAM BUSINESS CENTER DR, BYRAM, MS 39272-9636
- **Mailing address phone:** (601) 502-1194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018
