Organization
BREAKTHROUGH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY RANDOLPH DPT (OWNER)
(662) 315-6583
Entity
Organization
Contact information
Practice address
60368 COTTON GIN PORT RD, AMORY, MS 38821
(662) 315-6583
Mailing address
60368 COTTON GIN PORT RD, AMORY, MS 38821
(662) 315-6583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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