NPI | 1144338070 |
---|---|
Doing Business As | MEDICOMP PHYSICAL THERAPY JACKSON |
Entity Type | Organization |
Authorized Contact | JOSEPH MCNULTY CEO 601-849-6440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2006-08-29 |
Last Update Date | 2014-02-04 |