Organization
INTEGRATIVE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN H JENKINS P.T. (OWNER/PHYSICAL THERAPIST)
(662) 890-1142
Entity
Organization
Contact information
Practice address
8880 GERMANTOWN RD STE 200, OLIVE BRANCH, MS 38654-8546
(662) 890-1142
(662) 890-1144
Mailing address
8880 GERMANTOWN RD STE 200, OLIVE BRANCH, MS 38654-8546
(662) 890-1142
(662) 890-1144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0682
MS
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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