Gptrs II
Physical Therapist in Byram, MS. Organization (NPI-2).
NPI number1861967010
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1861967010
- Entity type
- Organization (NPI-2)
- Legal business name
- Gptrs II
- Organization subpart
- No
- Enumeration date
- Oct 3, 2018
- Last updated
- Oct 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
128 Byram Business Center DrByram, MS 39272-9636
Phone 601-502-1194
Mailing address
128 Byram Business Center DrByram, MS 39272-9636
Phone 601-502-1194
Authorized official
Gregory H Trussell
Director
6018984324
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