Organization
AQUATIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA N ROSSER PT (MANAGER)
(985) 774-1155
Entity
Organization
Contact information
Practice address
10 CARRIE MITCHELL RD, CARRIERE, MS 39426
(985) 774-1155
Mailing address
PO BOX 153, BUSH, LA 70431-0153
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4166
MS
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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