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Organization

ACHIEVEMENT REHABILITATION AND PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRENCE D NICKENS DPT (OWNER/PHYSICAL THERAPIST)
(601) 898-1888
Entity
Organization

Contact information

Practice address
676 S PEAR ORCHARD RD, SUITE D, RIDGELAND, MS 39157-4227
(601) 898-1888
(601) 898-1880
Mailing address
PO BOX 3188, RIDGELAND, MS 39158-3188
(601) 898-1888
(601) 898-1880

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3573
MS

Other

Enumeration date
02/04/2010
Last updated
02/04/2010
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