Organization
FIRST PLACE PHYSICAL THERAPY LLC
Active
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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