Good Samaritan Physical Therapy,inc.
NPI #1023087855 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1023087855
- Entity Type
- Organization
- Organization Name
- Good Samaritan Physical Therapy,inc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
- Enumeration Date
- Mar 15, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1901 MISSION 66
- Address 2
- SUITE A
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 638-4076
Authorized Official
- Name
- MRS. FERMIKA SMITH
- Title
- BILLING MANAGER
- Phone
- (601) 638-4076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies — Nursing Facility Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
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