Individual
MR. MARK CHAPIN BRESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
600 AIR PARK RD, TUPELO, MS 38801-7022
(662) 842-2100
(662) 842-2105
Mailing address
600 AIR PARK RD, TUPELO, MS 38801-7022
(662) 842-2100
(662) 842-2105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3201
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407915754
NPI FOR MY S-CORPORATION
MS
Enumeration date
04/18/2007
Last updated
02/24/2016
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