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Organization
MEDICOMP PHYSICAL THERAPY RIDGELAND, INC.
Active
Organization
MEDICOMP PHYSICAL THERAPY RIDGELAND, INC.
Active
Other names
Medicomp Physical Therapy Ridgeland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III (CEO)
(601) 849-1682
Entity
Organization
Contact information
Practice address
665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
(601) 956-1211
Mailing address
665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
(601) 956-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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