| NPI | 1487989950 |
|---|---|
| Doing Business As | MEDICOMP PHYSICAL THERAPY MADISON |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 953632) |
| 225X00000X Occupational Therapist (Licence: MS 953632) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2014-02-04 |