Organization
CRNC, INC.
Active
Other names
Physical Therapy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA RUTH BOSARGE PT (OWNER)
(228) 762-2345
Entity
Organization
Contact information
Practice address
3423 PASCAGOULA ST, PASCAGOULA, MS 39567-3206
(228) 762-2345
(228) 762-2365
Mailing address
3423 PASCAGOULA ST, PASCAGOULA, MS 39567-3206
(228) 762-2345
(228) 762-2365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0449
MS
225100000X
Physical Therapist
PT2455
MS
225100000X
Physical Therapist
PT3565
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016039
—
MS
Enumeration date
07/29/2006
Last updated
05/23/2014
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