Organization
GPTRS II
Active
Other names
Genesis Physical Therapy and Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BUIE (BILLING SUPERVISOR)
(601) 898-7530
Entity
Organization
Contact information
Practice address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7527
(601) 898-7577
Mailing address
214 PARKWAY EAST, MADISON, MS 39110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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