Organization
TRI THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LITTLE PTA (PTA)
(601) 587-2563
Entity
Organization
Contact information
Practice address
509 BROOKWAY BLVD, BROOKHAVEN, MS 39601-3266
(601) 833-7317
(601) 835-0995
Mailing address
PO BOX 457, MONTICELLO, MS 39654-0457
(601) 587-2563
(601) 587-0472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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