Individual
JOHNATHAN G FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
1019 MINDY LN E, SUMMIT, MS 39666-4405
(601) 248-7623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6679
MS
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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