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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