Organization
PROFESSIONAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA CARTER (OFFICE MANAGER)
(662) 247-4446
Entity
Organization
Contact information
Practice address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Mailing address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1324
MS
225100000X
Physical Therapist
PT3777
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9016292
—
MS
Enumeration date
06/11/2007
Last updated
08/22/2020
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