Organization
PERFORMANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH YOUNG (OFFICE MANAGER)
(601) 267-3241
Entity
Organization
Contact information
Practice address
1018 HIGHWAY 16 E, CARTHAGE, MS 39051-4220
(601) 267-3241
Mailing address
1018 HIGHWAY 16 E, CARTHAGE, MS 39051-4220
(601) 267-3241
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT5901
MS
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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