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Organization

2083 THERAPY, LLC

Active
Parent organization
2083 THERAPY, LLC
Other names
PAC Therapy
Organization subpart
Yes

Provider details

NPI number
Legal business name
2083 THERAPY, LLC
Authorized official
JOSEPH MCNULTY (CEO)
(601) 469-4151
Entity
Organization

Contact information

Practice address
113 LAKESIDE DR, PHILADELPHIA, MS 39350-6504
(601) 469-4151
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
(601) 469-9927

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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