Organization
BERT S. HAYDEL
Active
Other names
McComb Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERT S HAYDEL R.P.T. (OWNER)
(601) 684-0355
Entity
Organization
Contact information
Practice address
300 RAWLS DR, SUITE 700A, MCCOMB, MS 39648-2877
(601) 684-0355
(601) 250-0476
Mailing address
300 RAWLS DR, SUITE 700A, MCCOMB, MS 39648-2877
(601) 684-0355
(601) 250-0476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0012
MS
Other
Enumeration date
03/08/2007
Last updated
06/23/2008
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