Organization
FAMILY PHYSICAL THERAPY OF SOUTH MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN HARRY MYERS MSPT (OWNER)
(228) 863-4080
Entity
Organization
Contact information
Practice address
19020 PINEVILLE RD, SUITE 4, LONG BEACH, MS 39560-4564
(228) 863-4080
(228) 863-4014
Mailing address
19020 PINEVILLE RD, SUITE 4, LONG BEACH, MS 39560-4564
(228) 863-4080
(228) 863-4014
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3128
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356883
—
MS
Enumeration date
04/11/2007
Last updated
01/02/2025
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