Organization
PHYSICAL THERAPY WORKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M E NANCE PT (PRESIDENT PT)
(601) 859-3131
Entity
Organization
Contact information
Practice address
3091 S LIBERTY ST, CANTON, MS 39046
(601) 859-3131
(601) 859-1101
Mailing address
3091 S LIBERTY ST, CANTON, MS 39046
(601) 859-3131
(601) 859-1101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1300
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123980
—
MS
Enumeration date
01/17/2007
Last updated
07/03/2008
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