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Organization

PROFESSIONAL THERAPY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL FULTON P.T. (OWNER PRESIDENT)
(662) 234-8559
Entity
Organization

Contact information

Practice address
2304 JACKSON AVE W, OXFORD, MS 38655-5416
(662) 234-8559
(662) 234-7923
Mailing address
2304 JACKSON AVE W, OXFORD, MS 38655-5416
(662) 234-8559
(662) 234-7923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9015705
MS
Enumeration date
11/14/2006
Last updated
05/14/2013
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