# MEDICOMP PHYSICAL THERAPY RIDGELAND, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicomp Physical Therapy Ridgeland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952614414
- **Authorized official:** MR. JOSEPH S MCNULTY III (CEO)
- **Authorized official phone:** (601) 849-1682

## Contact information

- **Practice address:** 665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
- **Practice address phone:** (601) 956-1211
- **Mailing address:** 665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
- **Mailing address phone:** (601) 956-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | MS | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 07/26/2010