Organization
SPECIALIZED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J FOSTER L.P.T.A. (MANAGER)
(601) 420-0717
Entity
Organization
Contact information
Practice address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
(601) 420-0957
Mailing address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
(601) 420-0957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
134
MS
Other
Enumeration date
11/29/2006
Last updated
02/29/2012
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