Organization
MEDICOMP PHYSICAL THERAPY RIDGELAND, INC.
Active
Other names
Medicomp Physical Therapy Ridgeland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III (CEO)
(601) 849-1682
Entity
Organization
Contact information
Practice address
665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
(601) 956-1211
Mailing address
665 S PEAR ORCHARD RD, SUITE 114, RIDGELAND, MS 39157-4861
(601) 956-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MS
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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