Organization
REVIVE PELVIC HEALTH & PHYSICAL THERAPY LLC
Active
Other names
Revive Pelvic Health and Physical Therapy, Revive Pelvic Health and Physical Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA BARTON PT (CEO)
(601) 953-6876
Entity
Organization
Contact information
Practice address
107 VICTORIA LN, CLINTON, MS 39056-4031
(601) 953-6876
Mailing address
107 VICTORIA LN, CLINTON, MS 39056-4031
(601) 953-6876
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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