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Baptist Pt - Jackson

Physical Therapist in Jackson, MS. Organization (NPI-2).

NPI number1831473735
StatusActive
Last updated in NPPESDec 4, 2015

Details

NPI
1831473735
Entity type
Organization (NPI-2)
Legal business name
Baptist Pt - Jackson
Organization subpart
No
Enumeration date
Oct 11, 2011
Last updated
Dec 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

1190 N State St
Jackson, MS 39202-2413

Phone 601-968-1148 · Fax 601-968-1337

Mailing address

1190 N State St
Jackson, MS 39202-2413

Phone 601-968-1148 · Fax 601-968-1337

Authorized official

Amy Grissett
Billing Manager
6019441717

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