Organization
GPTRS II
Active
Other names
Genesis Physical Therapy and Rehabilitation Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET STEVENS JONES (ADMINISTRATOR)
(601) 898-4324
Entity
Organization
Contact information
Practice address
227 HIGHWAY 51, RIDGELAND, MS 39157-4423
(601) 898-4324
(601) 898-4325
Mailing address
227 HIGHWAY 51, RIDGELAND, MS 39157-4423
(601) 898-4324
(601) 898-4325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3765
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410455061
BLUE CROSS STEGALL
MS
01
—
425069689F
BLUE CROSS TRUSSELL
MS
Enumeration date
12/07/2009
Last updated
12/07/2009
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