Organization
2083 THERAPY, LLC
Active
Organization
2083 THERAPY, LLC
Active
Other names
Apex Physical Therapy of Forest
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCNULTY IV (PRESIDENT)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1151 HIGHWAY 35 S, FOREST, MS 39074-8829
(601) 849-6440
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1109164
BUSINESS LICENSE
MS
Enumeration date
12/04/2018
Last updated
12/04/2018
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