Organization
SPORTS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE PFISTER (ADMINISTRATOR)
(281) 980-2997
Entity
Organization
Contact information
Practice address
207 W JACKSON ST, SUITE F, RIDGELAND, MS 39157-2355
(601) 898-9503
(601) 898-4682
Mailing address
207 W JACKSON ST, SUITE F, RIDGELAND, MS 39157-2355
(601) 898-9503
(601) 898-4682
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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