Organization
PHYSICAL THERAPY OCCUPATIONAL THERAPY SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY DEARMAN (OWNER)
(601) 480-8025
Entity
Organization
Contact information
Practice address
3419 WISCONSIN AVE, VICKSBURG, MS 39180-5330
(601) 629-0505
Mailing address
321 POPPYSEED LN, RAYMOND, MS 39154-2100
(601) 480-8025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
12/03/2025
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