Organization
VISIONS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS T HARRIS PT (OWNER)
(601) 636-6019
Entity
Organization
Contact information
Practice address
4700 ROBINSON RD, JACKSON, MS 39204
(601) 636-6019
(601) 661-8457
Mailing address
4700 ROBINSON RD, JACKSON, MS 39204
(601) 636-6019
(601) 661-8457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3192
MS
2355S0801X
Speech-Language Assistant
S3299
MS
332B00000X
Durable Medical Equipment & Medical Supplies
PT3192
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015811
—
MS
Enumeration date
12/09/2008
Last updated
12/09/2008
Update your record
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