Organization
GENESIS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HOLIFIELD (OFFICE MANAGER)
(601) 428-2004
Entity
Organization
Contact information
Practice address
1707 WEST 20TH STREET, LAUREL, MS 39442
(601) 428-2004
(601) 428-8833
Mailing address
1707 WEST 20TH STREET, LAUREL, MS 39442
(601) 428-2004
(601) 428-8833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0780
MS
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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