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Organization

SOUTHERN PHYSICAL THERAPY CLINIC, INC.

Active
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Organization

SOUTHERN PHYSICAL THERAPY CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM LOUIS ROBIN PT, DPT (PHYSICAL THERAPIST)
(769) 242-2626
Entity
Organization

Contact information

Practice address
1620 HIGHWAY 11 N STE C, PICAYUNE, MS 39466-2070
(769) 242-2626
(769) 242-2685
Mailing address
1620 HIGHWAY 11 N STE C, PICAYUNE, MS 39466-2070
(769) 242-2626
(769) 242-2685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/25/2018
Last updated
07/15/2024
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