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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