Organization
CREATIVE HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JEAN VEGA (PHYSICAL THERAPIST ASSISTANT)
(662) 574-1664
Entity
Organization
Contact information
Practice address
3125 HIGHWAY 50 E, COLUMBUS, MS 39702-9535
(662) 574-1664
Mailing address
3125 HIGHWAY 50 E, COLUMBUS, MS 39702-9535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PTA4054
MS
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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