Organization
PURE HEALTH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE CAMERON (COO)
(228) 348-0694
Entity
Organization
Contact information
Practice address
7521 OLD CANTON RD, MADISON, MS 39110-8669
(601) 856-8041
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(228) 875-5448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/31/2023
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