Organization
SOUTHERN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE T. TREGRE DPT (OWNER)
(601) 336-8287
Entity
Organization
Contact information
Practice address
7 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 336-8287
Mailing address
7 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 336-8287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3956
MS
Other
Enumeration date
03/16/2012
Last updated
02/27/2015
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