Organization
2083 THERAPY, LLC
Active
Other names
2083 Therapy of Madison
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY IV (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1 WOODGREEN PL STE 101, MADISON, MS 39110-8161
(601) 605-1126
Mailing address
110 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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