Organization
2083 THERAPY, LLC
Active
Organization
2083 THERAPY, LLC
Active
Other names
Apex Physical Therapy of Flowood
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY IV (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
5080 LAKELAND DR., SUITE B, FLOWOOD, MS 39232-4403
(769) 572-5411
(769) 572-5412
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
11/14/2017
Last updated
10/15/2020
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