Individual
AUSTIN H FORTINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
709 ROBB ST, SUMMIT, MS 39666-8241
(601) 276-2200
(601) 276-3300
Mailing address
PO BOX 1358, SUMMIT, MS 39666-1301
(601) 276-2200
(601) 276-3300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8063
MS
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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