Organization
2083 THERAPY, LLC
Active
Other names
2083 Therapy of Collins, Apex Physical Therapy of Collins
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCNULTY IV (PRESIDENT)
(601) 849-6440
Entity
Organization
Contact information
Practice address
710 MAIN ST STE 10, COLLINS, MS 39428-6293
(601) 340-6872
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1109164
BUSINESS LICENSE
MS
Enumeration date
09/22/2017
Last updated
04/24/2020
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