Organization
FIRST PLACE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARROLL EDWARD BROWN PT OCS (OWNER THERAPIST)
(601) 444-0030
Entity
Organization
Contact information
Practice address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 444-0030
(601) 444-0033
Mailing address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 444-0030
(601) 444-0033
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06231289
—
MS
Enumeration date
11/13/2006
Last updated
08/22/2020
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