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Organization

FOOTPRINTS PEDIATRIC THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA C. KOLVITES DPT (OWNER)
(864) 293-3281
Entity
Organization

Contact information

Practice address
135 PINEHILLS DR, HATTIESBURG, MS 39402-3317
(864) 293-3281
Mailing address
135 PINEHILLS DR, HATTIESBURG, MS 39402-3317

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT6066
MS

Other

Enumeration date
08/25/2016
Last updated
09/06/2016
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