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Organization
FORTINBERRY PHYSICAL THERAPY LLC
Active
Organization
FORTINBERRY PHYSICAL THERAPY LLC
Active
Other names
Fortinberry Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD FORTINBERRY DPT (OWNER)
(601) 248-8019
Entity
Organization
Contact information
Practice address
709 ROBB STREET, SUMMIT, MS 39666
(601) 248-8019
Mailing address
PO BOX 1358, SUMMIT, MS 39666-1301
(601) 276-2200
(601) 276-3300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2344
MS
Other
Enumeration date
10/20/2016
Last updated
12/15/2021
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