Organization
EXCEED PHYSICAL THERAPY OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BLALACK (PRESIDENT)
(228) 861-4218
Entity
Organization
Contact information
Practice address
127 NORTH ST, CLEVELAND, MS 38732-2765
(662) 207-3849
Mailing address
53 SHORELINE LN, GULFPORT, MS 39503-6229
(228) 861-4218
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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